Individual
MRS. MARY R BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
550 S JACKSON ST, WINGS CLINIC, ACB 2ND FLOOR, LOUISVILLE, KY 40202-1622
(502) 561-5340
(502) 561-5342
Mailing address
12000 HUDSON VIEW CT, LOUISVILLE, KY 40299-8326
(502) 587-9436
(502) 561-5342
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10557
KY
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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