Provider Demographics
NPI:1831446384
Name:SCHAEFER, STEPHEN CHARLES (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CHARLES
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 JORDANNE CT
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-3968
Mailing Address - Country:US
Mailing Address - Phone:530-570-9119
Mailing Address - Fax:
Practice Address - Street 1:4 JORDANNE CT
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-3968
Practice Address - Country:US
Practice Address - Phone:530-570-9119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist