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JOSEPH THOMAS BRISTOL RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1528404159

Individual Registrant:
 JOSEPH THOMAS BRISTOL RPH
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

Contact information for business:
12441 STAFFORD RD  RAVENNA, MI 49451-9783 US
Tel: 231-853-2261  Fax: 231-853-6623

Registration Information:
NPI: 1528404159
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
MI5302022974

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MI - Page 1



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