Provider Demographics
NPI:1417347311
Name:BUSSE, KURTIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KURTIS
Middle Name:
Last Name:BUSSE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3385 N DEER BRUSH CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-3148
Mailing Address - Country:US
Mailing Address - Phone:520-745-4527
Mailing Address - Fax:
Practice Address - Street 1:5500 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-5523
Practice Address - Country:US
Practice Address - Phone:520-745-4527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021104183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist