Individual
JEFF EDWARD VAN SCHAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12647 OLIVE BLVD, SPECTRUM HEALTHCARE RESOURCES, ST. LOUIS, MO 63141
(180) 032-5398
Mailing address
1144 KINGSBURY DR, CHESAPEAKE, VA 23322-4264
(757) 576-1955
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202204450
VA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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