Provider Demographics
NPI:1801178793
Name:SCHAEFER, CRAIG FREDERICK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:FREDERICK
Last Name:SCHAEFER
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 1:3005 EMMORTON RD
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-2023
Mailing Address - Country:US
Mailing Address - Phone:410-569-9870
Mailing Address - Fax:410-569-5430
Practice Address - Street 1:3005 EMMORTON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009-2023
Practice Address - Country:US
Practice Address - Phone:410-569-9870
Practice Address - Fax:410-569-5430
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD14621OtherPHARMACY LICENSE