Individual
JOHN MICHAEL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5000 S 13TH ST, LEAVENWORTH, KS 66048-5581
(913) 727-4864
Mailing address
5317 LEWIS CT, SHAWNEE, KS 66226-3603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-13061
KS
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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