Individual
MRS. LISSET JERENNY BUSHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
243 CURTISS RD, PHARMACY, BARKSDALE AFB, LA 71110-2425
(318) 456-6234
Mailing address
125 CREEK DR, MARSHALL, TX 75672-3050
(501) 690-3896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014247
AR
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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