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NPI Code Detail

MEDICARE: JESSICA RAE BUSBY

MEDICARE: JESSICA RAE BUSBY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist19570AL

General Provider Information

NPI Number : 1689285520
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA RAE BUSBY
Provider Business Mailing Address
First Line : 100 N AIRPORT RD
Second Line :
City : JASPER
State : AL
Zip : 35504-7520
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 N AIRPORT RD
Second Line :
City : JASPER
State : AL
Zip : 35504-7520
Country : US
Telephone Number : 205-221-3150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 08/13/2020

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Directions to “ JESSICA RAE BUSBY ” Practice Location

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