Individual
JOSEPH THOMAS BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12441 STAFFORD RD, RAVENNA, MI 49451-9783
(231) 853-2261
(231) 853-6623
Mailing address
12441 STAFFORD RD, RAVENNA, MI 49451-9783
(231) 853-2261
(231) 853-6623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302022974
MI
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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