MR. Joseph Dan Bushardt JR., RPH

NPI #1134298391 in Lake City, South Carolina

Provider Information

NPI Number: 1134298391
Entity Type: Individual
Name: MR. Joseph Dan Bushardt JR., RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 319 MERCY ST
City: Lake City
State: South Carolina
ZIP Code: 29560-2331
Phone: (843) 374-2825

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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