Provider Demographics
NPI:1316414345
Name:DOSCHER, MICHAEL (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:DOSCHER
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 237
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13408-0237
Mailing Address - Country:US
Mailing Address - Phone:315-684-3171
Mailing Address - Fax:315-684-7164
Practice Address - Street 1:14 E MAIN STREET
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NY
Practice Address - Zip Code:13408-0237
Practice Address - Country:US
Practice Address - Phone:315-684-3171
Practice Address - Fax:315-684-7164
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI060466-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI060466-1OtherPHARMACIST LICENSE