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MR. ERNEST WILMOTH BRISTOL ERNEST BRISTOL

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1063728640

Individual Registrant:
MR. ERNEST WILMOTH BRISTOL ERNEST BRISTOL
Gender: M
Sole Proprietor

Location and contact information for practice:
2360 HIWAY 95  BULLHEAD CITY, AZ 86442-7303 US
Tel: 928-763-5858  Fax: 928-763-0972

Contact information for business:
2360 HWY 95  BULLHEAD CITY, AZ 86442-7303 US
Tel: 928-763-5858  Fax: 928-763-0972

Registration Information:
NPI: 1063728640
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AZ13963

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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