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Forrest K Busch Do
Non-Pharmacy Dispensing Site in Dyersburg, Tennessee
NPI 1649349374

Forrest K Busch Do is a Non-Pharmacy Dispensing Site based in Dyersburg, TN. Forrest K Busch Do practices in Dyersburg, TN. The NPI Number for Forrest K Busch Do is 1649349374 and holds a License No. DO839 (Tennessee).

The current practice location address for Forrest K Busch Do is Dyersburg Skin Clinic, Dyersburg, TN and can be reached out via phone at 731-286-4300 and via fax at 731-286-8008.

Location: Dyersburg Skin Clinic, Dyersburg, TN, 38024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649349374
Provider Name
Forrest K Busch Do
Credential
Provider Entity Type
Organization
Address
Dyersburg Skin Clinic, Dyersburg, TN, 38024
Phone Number
731-286-4300
Fax Number
731-286-8008
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4438037 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
Dyersburg Skin Clinic
City
Dyersburg
State
Tennessee
Zip
38024
Phone Number
731-286-4300
Fax Number
731-286-8008
person
Provider Business Mailing Address Details
Address
Dyersburg Skin Clinic
City
Dyersburg
State
Tennessee
Zip
38024
Phone Number
731-286-4300
Fax Number
731-286-8008
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
DO839 (Tennessee)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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