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JOSEPH THOMAS BRISTOL RPH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1528404159
Individual Registrant: JOSEPH THOMAS BRISTOL RPH
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
12441 STAFFORD RD RAVENNA, MI 49451-9783 US
Tel: 231-853-2261 Fax: 231-853-6623
Tel: 231-853-2261 Fax: 231-853-6623
Contact information for business:
12441 STAFFORD RD RAVENNA, MI 49451-9783 US
Tel: 231-853-2261 Fax: 231-853-6623
Tel: 231-853-2261 Fax: 231-853-6623
Registration Information:
NPI: 1528404159
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | MI | 5302022974 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
