Provider Demographics
NPI:1720595440
Name:BISCHOFF, JANE AXELROD (PHARMD, BCPP)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:AXELROD
Last Name:BISCHOFF
Suffix:
Gender:F
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:MADELEINE
Other - Last Name:AXELROD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPP
Mailing Address - Street 1:10217 YUKON AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-2059
Mailing Address - Country:US
Mailing Address - Phone:952-240-6146
Mailing Address - Fax:
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2300
Practice Address - Country:US
Practice Address - Phone:612-467-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1233001835P1300X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric