Douglas Michael Bushong, RPH

NPI #1609208883 in Erwin, Tennessee

Provider Information

NPI Number: 1609208883
Entity Type: Individual
Name: Douglas Michael Bushong, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 30, 2013
Last Updated: Jul 30, 2013

Practice Location

Address: 109 N MAIN AVE
City: Erwin
State: Tennessee
ZIP Code: 37650-1255
Phone: (423) 743-7105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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