Individual
MR. KENNETH MICHAEL BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
21000 E 12 MILE RD, STE 124, SAINT CLAIR SHORES, MI 48081-1116
(586) 447-5030
(586) 447-5034
Mailing address
21000 E 12 MILE RD, STE 124, SAINT CLAIR SHORES, MI 48081-1116
(586) 447-5030
(586) 447-5034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302030514
MI
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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