Bush, Kenneth Bradley
Bush, Kenneth Bradley is an individual health care provider with primary practice located at 3095 Goodman Rd E , Southaven MS 38672-8707. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Bush, Kenneth Bradley can be contacted via phone (662) 536-3743.Contact Information
Primary practice address
3095 Goodman Rd E
Southaven MS 38672-8707
Phone: (662) 536-3743
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | E-8208 | Mississippi |
Profile Details
| NPI number | 1093354649 |
|---|---|
| LBN Legal business name | Bush, Kenneth Bradley |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 31st, 2019 |
| Last updated | Mar 17th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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