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Individual

DR. EVAN LED BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-4076
Mailing address
991 YALE AVE, WALLINGFORD, CT 06492-1829

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013718
CT

Other

Enumeration date
07/02/2016
Last updated
03/21/2024
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