Provider Demographics
NPI:1578071718
Name:SCHREIBER, JAROD R (RPH)
Entity Type:Individual
Prefix:
First Name:JAROD
Middle Name:R
Last Name:SCHREIBER
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 1:255 STATE ROUTE 220 HWY
Mailing Address - Street 2:ATTN: RETAIL PHARMACY
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-3512
Mailing Address - Country:US
Mailing Address - Phone:570-308-2420
Mailing Address - Fax:570-308-2422
Practice Address - Street 1:255 STATE ROUTE 220 HWY
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-6505
Practice Address - Country:US
Practice Address - Phone:570-308-2420
Practice Address - Fax:570-308-2422
Is Sole Proprietor?:No
Enumeration Date:2018-01-22
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045950L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist