Provider Demographics
NPI:1104996529
Name:BUSBEE, JOHN ROBERT (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:ROBERT
Last Name:BUSBEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2876 DOGWOOD DR
Mailing Address - Street 2:PO BOX 512
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9690
Mailing Address - Country:US
Mailing Address - Phone:828-459-2149
Mailing Address - Fax:828-459-2140
Practice Address - Street 1:3319 E MAIN ST.
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610
Practice Address - Country:US
Practice Address - Phone:828-459-2149
Practice Address - Fax:828-459-2140
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05410183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist