Provider Demographics
NPI:1538996715
Name:LARRY C SCHIEBER
Entity type:Organization
Organization Name:LARRY C SCHIEBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:740-474-1971
Mailing Address - Street 1:212 LANCASTER PIKE
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-1507
Mailing Address - Country:US
Mailing Address - Phone:740-474-1971
Mailing Address - Fax:
Practice Address - Street 1:212 LANCASTER PIKE
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-1507
Practice Address - Country:US
Practice Address - Phone:740-474-1971
Practice Address - Fax:740-474-3689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy