Individual
GORDON HENRY BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4101 NW LOGAN RD, LINCOLN CITY, OR 97367-5056
(541) 994-2500
(541) 994-8438
Mailing address
4101 NW LOGAN RD, LINCOLN CITY, OR 97367-5056
(541) 994-2500
(541) 994-8438
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7883
OR
183500000X
Pharmacist
R8023
WI
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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