Provider Demographics
NPI:1003431610
Name:BISHOP, CHRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:BISHOP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 FIRST AVE
Mailing Address - Street 2:
Mailing Address - City:TISHOMINGO
Mailing Address - State:MS
Mailing Address - Zip Code:38873-8441
Mailing Address - Country:US
Mailing Address - Phone:662-438-6605
Mailing Address - Fax:662-438-6680
Practice Address - Street 1:18 FIRST AVE
Practice Address - Street 2:
Practice Address - City:TISHOMINGO
Practice Address - State:MS
Practice Address - Zip Code:38873-8441
Practice Address - Country:US
Practice Address - Phone:662-438-6605
Practice Address - Fax:662-438-6680
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-16043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist