Kelly Bishop
Pharmacist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1104745306
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104745306
- Entity type
- Individual (NPI-1)
- Name
- Kelly Bishop
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS70882 | FL | Yes |
Practice location
4500 San Pablo Rd SJacksonville, FL 32224-1865
Phone 904-953-2000
Mailing address
11727 Abess Blvd Apt 3110Jacksonville, FL 32225-6059
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