Healthcare Provider Details

I. General information

NPI: 1316176985
Provider Name (Legal Business Name): KEVIN MICHAEL BISCH PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2009
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 LANSDOWNE AVE SUITE 1000
DARBY PA
19023-1330
US

IV. Provider business mailing address

1010 PLYMOUTH RD
PLYMOUTH MEETING PA
19462-2546
US

V. Phone/Fax

Practice location:
  • Phone: 610-237-7330
  • Fax: 610-237-7333
Mailing address:
  • Phone: 267-251-6319
  • Fax: 844-368-9001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP438665
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: