Individual
MICHAEL JOSEPH BUSUTTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4202 S EAST ST, INDIANAPOLIS, IN 46227-1416
(317) 781-4258
(317) 781-4258
Mailing address
4202 S EAST ST, INDIANAPOLIS, IN 46227-1416
(317) 781-4258
(317) 781-4260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26019555A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
26019555A
IN
Other
Enumeration date
11/26/2019
Last updated
01/24/2020
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