Healthcare Provider Details

I. General information

NPI: 1972431856
Provider Name (Legal Business Name): DANIELLE ELISCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE GLADSTONE

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23625 HOLMAN HWY
MONTEREY CA
93940-5902
US

IV. Provider business mailing address

317A LIGHTHOUSE AVE
PACIFIC GROVE CA
93950-2950
US

V. Phone/Fax

Practice location:
  • Phone: 831-625-4906
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number82018
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: