MR. Ernest Wilmoth Bristol JR., ERNEST BRISTOL

NPI #1063728640 in Bullhead City, Arizona

Provider Information

NPI Number
1063728640
Entity Type
Individual
Name
MR. Ernest Wilmoth Bristol JR., ERNEST BRISTOL
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
ERNEST BRISTOL
Enumeration Date
Aug 20, 2010
Last Updated
Aug 20, 2010

Practice Location

Address
2360 HIWAY 95
State
Arizona
ZIP Code
86442-7303
Phone
(928) 763-5858

Specialties & Taxonomy Codes

Specialty
Pharmacist

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