MEDICARE: MR. LAWRENCE SCHILLER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26741	NY

General Provider Information

NPI Number	:	1720079759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAWRENCE SCHILLER RPH

Provider Business Mailing Address
First Line	:	8 ARDSLEY DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-4225
Country	:	US
Telephone Number	:	718-518-5021
Fax Number	:	718-716-8736

Provider Business Practice Location Address
First Line	:	8 ARDSLEY DR
Second Line	:
City	:	NEW CITY
State	:	NY
Zip	:	10956-4225
Country	:	US
Telephone Number	:	718-518-5021
Fax Number	:	718-716-8736

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	03/21/2008

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