Provider Demographics
NPI:1457051708
Name:SCHUETZ, JOSEPH FREDRICK (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FREDRICK
Last Name:SCHUETZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:SCHUETZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16703 SAMPAN CIR
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1654
Mailing Address - Country:US
Mailing Address - Phone:562-805-9703
Mailing Address - Fax:
Practice Address - Street 1:16703 SAMPAN CIR
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1654
Practice Address - Country:US
Practice Address - Phone:562-805-9703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72984183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist