Provider Demographics
NPI:1669100822
Name:SCHLIEPER, JASON WILLIAM (RPH, BCPS)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:WILLIAM
Last Name:SCHLIEPER
Suffix:
Gender:M
Credentials:RPH, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:SHARPSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16150-2236
Mailing Address - Country:US
Mailing Address - Phone:724-962-2056
Mailing Address - Fax:
Practice Address - Street 1:175 CANAL ST
Practice Address - Street 2:
Practice Address - City:SHARPSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16150-2236
Practice Address - Country:US
Practice Address - Phone:724-962-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP445071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist