Individual
BRAD ALLEN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1000 CARL ALBERT PKWY, MCALESTER, OK 74501
(918) 426-7657
Mailing address
1000 E CARL ALBERT PKWY, MCALESTER, OK 74501-5121
(918) 426-7657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12893
OK
Other
Enumeration date
10/15/2011
Last updated
10/15/2011
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