Individual
MRS. EVELYN JEANETTE BUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
317 N US HIGHWAY 51, POYNETTE, WI 53955-9344
(608) 635-9456
(608) 635-9458
Mailing address
317 N US HIGHWAY 51, POYNETTE, WI 53955-9344
(608) 635-9456
(608) 635-9458
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12438-040
WI
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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