Provider Demographics
NPI:1578764767
Name:WILLIAMS, JENNIFER SCHOELLES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SCHOELLES
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10451 OAK LEAF ST
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-5436
Mailing Address - Country:US
Mailing Address - Phone:727-812-1891
Mailing Address - Fax:727-549-6400
Practice Address - Street 1:9200 113TH ST NORTH
Practice Address - Street 2:PH 102
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772
Practice Address - Country:US
Practice Address - Phone:727-394-6213
Practice Address - Fax:727-549-6400
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS33332183500000X
KY011315183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist