Provider Demographics
NPI:1649253915
Name:BUSH, LEKESHIA J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEKESHIA
Middle Name:J
Last Name:BUSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:5361 NW 22ND AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33142-8035
Mailing Address - Country:US
Mailing Address - Phone:786-437-1441
Mailing Address - Fax:786-437-1442
Practice Address - Street 1:16800 NW 2ND AVE STE 100
Practice Address - Street 2:WALGREENS SUITE 100
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33169-5504
Practice Address - Country:US
Practice Address - Phone:305-770-2540
Practice Address - Fax:305-770-2548
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPS0034837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist