Provider Demographics
NPI:1174910616
Name:BISHOP, DANIELLE L (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:L
Last Name:BISHOP
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:308 HARVARD ST SE
Mailing Address - Street 2:ROOM 5-130 WDH
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0353
Mailing Address - Country:US
Mailing Address - Phone:319-400-2712
Mailing Address - Fax:612-625-9931
Practice Address - Street 1:2312 SNELLING AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3468
Practice Address - Country:US
Practice Address - Phone:319-400-2712
Practice Address - Fax:612-314-1080
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1220491835P1300X
IL051.2931261835P1300X
IA196761835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric