Provider Demographics
NPI:1699167981
Name:BACHMAN, JOSEPH (RPH, MS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 EMMONS PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT ORAB
Mailing Address - State:OH
Mailing Address - Zip Code:45154-9490
Mailing Address - Country:US
Mailing Address - Phone:513-256-9598
Mailing Address - Fax:937-444-6912
Practice Address - Street 1:123 EMMONS PL
Practice Address - Street 2:
Practice Address - City:MOUNT ORAB
Practice Address - State:OH
Practice Address - Zip Code:45154-9490
Practice Address - Country:US
Practice Address - Phone:513-256-9598
Practice Address - Fax:937-444-6912
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03315880183500000X
KY013051183500000X
FLPS22345183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist