ERNEST WILMOTH BRISTOL

BULLHEAD CITY, AZ
NPI1063728640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  13963)
Enumeration Date2010-08-20
Last Update Date2010-08-20
Business Address
Mr. ERNEST WILMOTH BRISTOL Ernest Bristol
2360 HIWAY 95
BULLHEAD CITY, AZ 86442-7303
Phone number: 928-763-5858
Mailing Address
Mr. ERNEST WILMOTH BRISTOL Ernest Bristol
2360 HWY 95
BULLHEAD CITY, AZ 86442-7303
Phone number: 928-763-5858