Individual
DEREK J BARTUSHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
107 RIVER PEARL ST, RALEIGH, NC 27603-4162
(919) 538-2791
Mailing address
107 RIVER PEARL ST, RALEIGH, NC 27603-4162
(919) 538-2791
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28036
NC
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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