Provider Demographics
NPI:1780928713
Name:BACHMEIER, HARRISON (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HARRISON
Middle Name:
Last Name:BACHMEIER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 FOREMAN AVE
Mailing Address - Street 2:APT 204
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-3143
Mailing Address - Country:US
Mailing Address - Phone:954-319-7572
Mailing Address - Fax:
Practice Address - Street 1:800 ROSE ST
Practice Address - Street 2:H110
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0293
Practice Address - Country:US
Practice Address - Phone:859-323-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47931183500000X
KY016041183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist