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Organization

BUSHARD PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PHILLIP LEBLANC PHARMD (PHARMACIST IN CHARGE)
(949) 494-1059
Entity
Organization

Contact information

Practice address
244 FOREST AVE, LAGUNA BEACH, CA 92651
(949) 494-1059
(949) 494-8807
Mailing address
244 FOREST AVE, LAGUNA BEACH, CA 92651
(949) 494-1059
(949) 494-8807

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY34521
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0507612
NABP
05
PHA185380
CA
Enumeration date
10/02/2006
Last updated
07/03/2019
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