Individual
MRS. MARY LYNN H BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
421 HIGHWATER CT, CHAPIN, SC 29036-9682
(803) 345-3719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6338
SC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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