Provider Demographics
NPI:1063940278
Name:BISHOP, ALEX CLAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALEX
Middle Name:CLAY
Last Name:BISHOP
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20050 OAK RD E UNIT 1406
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-5733
Mailing Address - Country:US
Mailing Address - Phone:251-458-1557
Mailing Address - Fax:
Practice Address - Street 1:170 E FORT MORGAN RD
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3510
Practice Address - Country:US
Practice Address - Phone:251-968-5910
Practice Address - Fax:251-968-5912
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist