Provider Demographics
NPI:1558024075
Name:BUSHMAN, MARGARET FAITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:FAITH
Last Name:BUSHMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 34TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79411-1634
Mailing Address - Country:US
Mailing Address - Phone:432-813-2957
Mailing Address - Fax:
Practice Address - Street 1:2316 34TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79411-1634
Practice Address - Country:US
Practice Address - Phone:432-813-2957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-21
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69601183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXNAOtherNA