Individual
DR. JEREMY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 MAIN ST, LIVERMORE FALLS, ME 04254-1510
(207) 897-6781
Mailing address
9 GRAY ST, WATERVILLE, ME 04901-6417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR47063
ME
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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