Provider Demographics
NPI:1831841089
Name:ESCHMAN, MARISSA (PHARMD)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:ESCHMAN
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 1:270 CEDAR FALLS DR
Mailing Address - Street 2:
Mailing Address - City:MT WASHINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40047-6602
Mailing Address - Country:US
Mailing Address - Phone:502-409-2934
Mailing Address - Fax:
Practice Address - Street 1:6900 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3223
Practice Address - Country:US
Practice Address - Phone:502-239-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY022342183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist