Provider Demographics
NPI:1588769749
Name:KUSCHNER, ELIZABETH JOANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JOANNE
Last Name:KUSCHNER
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 1:6322 ANDREWS DR W
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9311
Mailing Address - Country:US
Mailing Address - Phone:614-895-9870
Mailing Address - Fax:
Practice Address - Street 1:6322 ANDREWS DR W
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9311
Practice Address - Country:US
Practice Address - Phone:614-895-9870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-3-21721183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist