Individual
MR. JORDAN LEE BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2701 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-2830
(505) 881-8496
Mailing address
1701 BUFFALO DANCER TRL NE, ALBUQUERQUE, NM 87112-4808
(682) 667-5244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00006806
NM
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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