Provider Demographics
NPI:1043397730
Name:SCHIFFER, WILLIAM JOHN JR (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOHN
Last Name:SCHIFFER
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 VISTA GRANDE LOOP
Mailing Address - Street 2:
Mailing Address - City:LORENA
Mailing Address - State:TX
Mailing Address - Zip Code:76655-3368
Mailing Address - Country:US
Mailing Address - Phone:254-857-9273
Mailing Address - Fax:
Practice Address - Street 1:1412 N VALLEY MILLS DR
Practice Address - Street 2:SUITE 116
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-4461
Practice Address - Country:US
Practice Address - Phone:254-761-5200
Practice Address - Fax:254-772-7413
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22001183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist