Individual
DR. ANNA ELISE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
301 S BROAD ST, THOMASVILLE, GA 31792-5546
(229) 228-7658
Mailing address
307 PARK AVE, THOMASVILLE, GA 31792-6148
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
RPH030298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH030298
PHARMACY LICENSE
GA
Enumeration date
05/21/2020
Last updated
05/21/2020
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