Individual
BUSHRAH BAKHSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1680 W LANE RD, MACHESNEY PARK, IL 61115-1623
(815) 282-1203
Mailing address
1471 VAN METER DR, GLENDALE HEIGHTS, IL 60139-2744
(630) 699-0653
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298939
IL
3336M0003X
Managed Care Organization Pharmacy
051.298939
IL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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