MEDICARE: BISHOP PHARMACY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336S0011X	Specialty Pharmacy
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
4	183500000X	Pharmacist	7268	AL
5	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	39976	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1205821717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BISHOP PHARMACY INC

Provider Business Mailing Address
First Line	:	103 SAND MOUNTAIN DR NE
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-1709
Country	:	US
Telephone Number	:	256-878-5953
Fax Number	:	256-891-2544

Provider Business Practice Location Address
First Line	:	103 SAND MOUNTAIN DR NE
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-1709
Country	:	US
Telephone Number	:	256-878-5953
Fax Number	:	256-891-2544

Authorized Official
Title or Position	:	OWNER/PHARMACSIT
Name	:	TIMOTHY N BISHOP
Credential	:	P.D.
Telephone Number	:	256-878-5953

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	04/03/2009

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Directions to “BISHOP PHARMACY INC ” Practice Location

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