Individual
DR. CLARK BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
Mailing address
119 N MAIN ST, BLACKWELL, OK 74631-2226
(580) 363-2137
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16969
OK
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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