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Individual

RAYMOND JOHN BISHOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
4000 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1502
(502) 458-2611
(502) 458-9811
Mailing address
4000 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1502
(502) 458-2611
(502) 458-9811

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6838
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6838
PHARMACIST LICENSE
KY
Enumeration date
08/03/2011
Last updated
08/03/2011
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