Most Relevant Information
Provider Data
| NPI Number: | 1003401324 |
| Provider Name: | KELLEY SMITH BISHOP PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 0202206260 |
Most Important Dates
| Enumeration Date: | 03/08/2021 |
| Last Updated: | 03/08/2021 |
Provider Practice Location
9801 BROOK RD
GLEN ALLEN
VA
230594530
Practice Location Phone/Fax
| Phone: | 8042649587 |
| Fax: |
Provider Mailing Location
10145 HIGHBURY DR
MECHANICSVILLE
VA
231164735
Provider Mailing Phone/Fax
| Phone: | 8043878830 |
| Fax: |