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NPI Code Detail

MEDICARE: DR. JACQUELYN SCHAEFER PHARMD

MEDICARE: DR. JACQUELYN SCHAEFER PHARMD
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
1183500000XPharmacistPS56931FL

General Provider Information

NPI Number : 1922524800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELYN SCHAEFER PHARMD
Provider Business Mailing Address
First Line : 106 BLUE LAKE CT
Second Line :
City : LONGWOOD
State : FL
Zip : 32779-3545
Country : US
Telephone Number : 407-463-0884
Fax Number :
Provider Business Practice Location Address
First Line : 1501 MEETING PL
Second Line :
City : ORLANDO
State : FL
Zip : 32814-6602
Country : US
Telephone Number : 407-897-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 08/22/2017

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