Individual
CHASE BENSON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 GLYNN ST S, FAYETTEVILLE, GA 30214-2000
(770) 461-8266
Mailing address
805 GLYNN ST S, FAYETTEVILLE, GA 30214-2000
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH028587
GA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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