Individual
DIANE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
708 DEL PRADO BLVD, SUITE 4, CAPE CORAL, FL 33990-5616
(239) 424-3157
(239) 424-4087
Mailing address
708 DEL PRADO BLVD, SUITE 4, CAPE CORAL, FL 33990-5616
(239) 424-3157
(239) 424-4087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34161
FL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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