Individual
MATTHEW BUSELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
4828 DAVIS LANT DR, EVANSVILLE, IN 47715-8919
(812) 475-9541
Mailing address
4828 DAVIS LANT DR, EVANSVILLE, IN 47715-8919
(812) 475-9541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017357
KY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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