Provider Demographics
NPI:1568565794
Name:BISCHOFF, ELISHA ANN (PHARMD,BCPS)
Entity Type:Individual
Prefix:DR
First Name:ELISHA
Middle Name:ANN
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:PHARMD,BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 CONSTANT COMMENT PL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-6349
Mailing Address - Country:US
Mailing Address - Phone:502-964-5359
Mailing Address - Fax:
Practice Address - Street 1:2700 CONSTANT COMMENT PL
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-6349
Practice Address - Country:US
Practice Address - Phone:502-964-5359
Practice Address - Fax:502-526-0152
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0127011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy