Provider Demographics
NPI:1477579431
Name:RISHCOFF, DONALD (RPH)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:RISHCOFF
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-8097
Mailing Address - Country:US
Mailing Address - Phone:570-323-2109
Mailing Address - Fax:
Practice Address - Street 1:2424 WEST FOURTH ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-4298
Practice Address - Country:US
Practice Address - Phone:570-322-4665
Practice Address - Fax:570-322-0634
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP023749L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist