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Individual

MR. CHARLES EDWARD BISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
314 GOFF MOUNTAIN RD, SUITE #5, CROSS LANES, WV 25313-6602
(304) 388-7050
(304) 388-7055
Mailing address
314 GOFF MOUNTAIN RD, SUITE #5, CROSS LANES, WV 25313-6602
(304) 388-7050
(304) 388-7055

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WV 4932
WV

Other

Enumeration date
05/07/2013
Last updated
05/07/2013
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