Healthcare Provider Details

I. General information

NPI: 1447165170
Provider Name (Legal Business Name): ELIZABETH ANN BOCKEY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 N MAIN ST
ENGLEWOOD OH
45415-1125
US

IV. Provider business mailing address

140 RUSKIN CT
LIMA OH
45806-1337
US

V. Phone/Fax

Practice location:
  • Phone: 937-832-5110
  • Fax: 937-832-5165
Mailing address:
  • Phone: 567-825-8451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03447162
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: