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Individual

MICHAEL BRENT BISHOP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DOCTOR OF PHARMACY

Contact information

Practice address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
(405) 300-6418
(405) 300-6417
Mailing address
13503 S SANTA FE AVE, OKLAHOMA CITY, OK 73170-7314
(405) 300-6418
(405) 300-6417

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15679
OK

Other

Enumeration date
10/27/2020
Last updated
10/27/2020
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