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Individual

DR. MARK RICHARD BISHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM-D

Contact information

Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 403-3548
(303) 467-8961
Mailing address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 403-3548
(303) 467-8961

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
13262
CO
1835G0303X
Geriatric Pharmacist
13262
CO
1835N1003X
Nutrition Support Pharmacist
13262
CO
1835P1200X
Pharmacotherapy Pharmacist
Primary
13262
CO
1835P1300X
Psychiatric Pharmacist
13262
CO
1835X0200X
Oncology Pharmacist
13626
CO

Other

Enumeration date
09/14/2006
Last updated
07/07/2011
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