Basic Information
Provider Information
NPI: 1154924660
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHRIER
FirstName: JOSEPH
MiddleName: EUGENE
NamePrefix: MR.
NameSuffix:  
Credential: RPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 207 S LEBANON ST
Address2:  
City: LEBANON
State: IN
PostalCode: 460522544
CountryCode: US
TelephoneNumber: 7654823630
FaxNumber: 7654827729
Practice Location
Address1: 207 S LEBANON ST
Address2:  
City: LEBANON
State: IN
PostalCode: 460522544
CountryCode: US
TelephoneNumber: 7654823630
FaxNumber: 7654827729
Other Information
ProviderEnumerationDate: 11/17/2020
LastUpdateDate: 11/17/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X26014389AINY Pharmacy Service ProvidersPharmacist 

No ID Information.


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