Individual
THERESA N BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4055 MARKET ST, PHILADELPHIA, PA 19104-3031
(215) 382-4260
(215) 382-5603
Mailing address
4055 MARKET ST, PHILA, PA 19104-3031
(215) 382-4260
(215) 382-5603
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
08/11/2022
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