Individual
ELIZABETH PERKINS BASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 MIDWAY ST, BRISTOL, VA 24201-3246
(276) 642-0032
Mailing address
2003 PLEASANT VIEW DR APT 36, JOHNSON CITY, TN 37604-5003
(931) 801-5870
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219859
VA
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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