Individual
MR. ERNEST WILMOTH BRISTOL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ERNEST BRISTOL
Contact information
Practice address
2360 HIWAY 95, BULLHEAD CITY, AZ 86442-7303
(928) 763-5858
(928) 763-0972
Mailing address
2360 HWY 95, BULLHEAD CITY, AZ 86442-7303
(928) 763-5858
(928) 763-0972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13963
AZ
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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