Provider Demographics
NPI:1447542139
Name:BISCHOFF, SARAH ELIZABETH KIRBY (RPH)
Entity type:Individual
Prefix:MS
First Name:SARAH ELIZABETH
Middle Name:KIRBY
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 BROOKSIDE DR NW
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-2112
Mailing Address - Country:US
Mailing Address - Phone:252-237-5112
Mailing Address - Fax:
Practice Address - Street 1:3401 RALEIGH RD
Practice Address - Street 2:HARRIS TEETER
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896
Practice Address - Country:US
Practice Address - Phone:252-237-3186
Practice Address - Fax:252-291-0517
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist