Provider Demographics
NPI:1447876966
Name:BIBLE, LISA JACOB (PHARMD RPH)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:JACOB
Last Name:BIBLE
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11560 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45246-3531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7864 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HEALTHY
Practice Address - State:OH
Practice Address - Zip Code:45231-3160
Practice Address - Country:US
Practice Address - Phone:513-931-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-20
Last Update Date:2020-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03334625-3183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist