Provider Demographics
NPI:1518237015
Name:SCHAEFFER, JARED SMITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:SMITH
Last Name:SCHAEFFER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 33RD ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-4329
Mailing Address - Country:US
Mailing Address - Phone:941-758-2717
Mailing Address - Fax:941-739-1636
Practice Address - Street 1:5201 33RD ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-4329
Practice Address - Country:US
Practice Address - Phone:941-758-2717
Practice Address - Fax:941-739-1636
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-31
Last Update Date:2011-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist