Provider Demographics
NPI:1245507359
Name:SCHAFER, AMY LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:SCHAFER
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 1:23949 ROAD L34
Mailing Address - Street 2:
Mailing Address - City:UNDERWOOD
Mailing Address - State:IA
Mailing Address - Zip Code:51576-3867
Mailing Address - Country:US
Mailing Address - Phone:712-323-6810
Mailing Address - Fax:
Practice Address - Street 1:23949 ROAD L34
Practice Address - Street 2:
Practice Address - City:UNDERWOOD
Practice Address - State:IA
Practice Address - Zip Code:51576-3867
Practice Address - Country:US
Practice Address - Phone:712-323-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18781183500000X
NE11039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist