Individual
JEFFREY R BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPP
Contact information
Practice address
5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416-1275
(612) 273-8710
(612) 273-8727
Mailing address
5775 WAYZATA BLVD STE 255, ST LOUIS PARK, MN 55416-1275
(612) 273-8710
(612) 273-8727
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
122215
MN
Other
Enumeration date
02/17/2010
Last updated
07/21/2022
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