Provider Demographics
NPI:1609131150
Name:SCHAFFNER, EVA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:EVA
Middle Name:
Last Name:SCHAFFNER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25126 TONGANOXIE RD
Mailing Address - Street 2:
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-7313
Mailing Address - Country:US
Mailing Address - Phone:252-665-3089
Mailing Address - Fax:
Practice Address - Street 1:25126 TONGANOXIE RD
Practice Address - Street 2:
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-7313
Practice Address - Country:US
Practice Address - Phone:252-665-3089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59444183500000X
AZS0164461835P0018X
NC194861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist