Provider Demographics
NPI:1194493031
Name:BISHAY, CLARA U
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:U
Last Name:BISHAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 MT VIEW LN
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-8705
Mailing Address - Country:US
Mailing Address - Phone:570-540-5065
Mailing Address - Fax:
Practice Address - Street 1:502 CHURCH ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-1994
Practice Address - Country:US
Practice Address - Phone:570-271-0470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician