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Individual

DR. KELLIE BUSBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD, BCPP

Contact information

Practice address
1623 N APACHE DR, CHANDLER, AZ 85224-8620
(480) 477-4468
Mailing address
1623 N APACHE DR, CHANDLER, AZ 85224-8620
(480) 477-4468

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020576
AZ
1835P1300X
Psychiatric Pharmacist
S020576
AZ

Other

Enumeration date
07/20/2014
Last updated
08/27/2021
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