Provider Demographics
NPI:1245577121
Name:SCHANEVILLE, JOSEPH B (RPH)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:SCHANEVILLE
Suffix:
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 1:1731 S RUTHERFORD BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-5957
Mailing Address - Country:US
Mailing Address - Phone:615-849-4295
Mailing Address - Fax:615-849-4360
Practice Address - Street 1:1731 S RUTHERFORD BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-5957
Practice Address - Country:US
Practice Address - Phone:615-849-4295
Practice Address - Fax:615-849-4360
Is Sole Proprietor?:No
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist