Provider Demographics
NPI:1932509254
Name:BISCHOFF, ALAINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:PHARMD
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:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-0237
Mailing Address - Country:US
Mailing Address - Phone:337-363-6685
Mailing Address - Fax:337-363-6686
Practice Address - Street 1:1011 W LINCOLN RD
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-3045
Practice Address - Country:US
Practice Address - Phone:337-363-6685
Practice Address - Fax:337-363-6686
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPST.019689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist