Individual
KATIE LYNN VANBUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
3425 BREMEN HWY, MISHAWAKA, IN 46544-6511
(574) 257-0827
Mailing address
1485 MULLANPHY RD, FLORISSANT, MO 63031-4213
(314) 749-8578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26025083A
IN
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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