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Individual

DR. LARRY BRENT BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1808 UNIVERSITY AVE, OXFORD, MS 38655-4112
(662) 513-0894
Mailing address
28 COUNTY ROAD 420, OXFORD, MS 38655-9585

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09870
MS

Other

Enumeration date
12/17/2021
Last updated
12/17/2021
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