Individual
JORDAN V BUSCEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACY STUDENT
Contact information
Practice address
3141 COLSTREAM DR, METAMORA, MI 48455-9301
(586) 419-9898
Mailing address
3141 COLSTREAM DR, METAMORA, MI 48455-9301
(586) 419-9898
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302041280
MI
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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