Individual
MRS. KELLEY SMITH BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9801 BROOK RD, GLEN ALLEN, VA 23059-4530
(804) 264-9587
Mailing address
10145 HIGHBURY DR, MECHANICSVILLE, VA 23116-4735
(804) 387-8830
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206260
VA
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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