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Organization
BUSHARD PHARMACY INC
Active
Organization
BUSHARD PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LEBLANC PHARMD (PHARMACIST IN CHARGE)
(949) 494-1059
Entity
Organization
Contact information
Practice address
244 FOREST AVE, LAGUNA BEACH, CA 92651
(949) 494-1059
(949) 494-8807
Mailing address
244 FOREST AVE, LAGUNA BEACH, CA 92651
(949) 494-1059
(949) 494-8807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY34521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0507612
NABP
—
05
—
PHA185380
—
CA
Enumeration date
10/02/2006
Last updated
07/03/2019
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