Individual
THOMAS ROBERT BUSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34475 KADOTA ST, YUCAIPA, CA 92399-2926
(240) 398-8310
Mailing address
34475 KADOTA ST, YUCAIPA, CA 92399-2926
(240) 398-8310
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
68330
CA
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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