Individual
DR. JUSTIN MICHAEL BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4352 W STONE DR, KINGSPORT, TN 37660-7253
(423) 357-3803
(423) 770-0907
Mailing address
4352 W STONE DR, KINGSPORT, TN 37660-7253
(423) 357-3803
(423) 770-0907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21809
TN
Other
Enumeration date
07/15/2010
Last updated
06/04/2026
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