Calvern Rudolph Bushay

NPI #1265730550 in Belle, West Virginia

Provider Information

NPI Number: 1265730550
Entity Type: Individual
Name: Calvern Rudolph Bushay
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Mar 10, 2011
Last Updated: Mar 10, 2011

Practice Location

Address: 3175 W DUPONT AVE
City: Belle
State: West Virginia
ZIP Code: 25015-1075
Phone: (304) 926-6889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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