MEDICARE: MS. AMY S. BUESING RPH

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
1	183500000X	Pharmacist	5342	NM

General Provider Information

NPI Number	:	1427187806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY S. BUESING RPH

Provider Business Mailing Address
First Line	:	15395 S HIGHWAY 28
Second Line	:
City	:	LA MESA
State	:	NM
Zip	:	88044-9410
Country	:	US
Telephone Number	:	505-644-0854
Fax Number	:

Provider Business Practice Location Address
First Line	:	15395 S HIGHWAY 28
Second Line	:
City	:	LA MESA
State	:	NM
Zip	:	88044-9410
Country	:	US
Telephone Number	:	505-644-0854
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	07/08/2007

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