Provider Demographics
NPI:1942690235
Name:SCHAFERNAK, ERIC (PHARMD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:SCHAFERNAK
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 1:2261 S STERLING AVE
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64052-3668
Mailing Address - Country:US
Mailing Address - Phone:816-833-5840
Mailing Address - Fax:816-833-5479
Practice Address - Street 1:4000 NE SPECTRUM DR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-6242
Practice Address - Country:US
Practice Address - Phone:515-686-8719
Practice Address - Fax:515-686-8710
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013028391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist