Provider Demographics
NPI:1366725491
Name:SCHAEFER, JULIA ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 KLONDIKE DR
Mailing Address - Street 2:
Mailing Address - City:FLOYDS KNOBS
Mailing Address - State:IN
Mailing Address - Zip Code:47119-9211
Mailing Address - Country:US
Mailing Address - Phone:812-923-7573
Mailing Address - Fax:
Practice Address - Street 1:2811 HOLMANS LN
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-5915
Practice Address - Country:US
Practice Address - Phone:812-288-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26014575A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist