Organization · Type 2 NPI
Forrest K Busch Do
Non-Pharmacy Dispensing Site · Dyersburg, TN
NPI number
1649349374
Active
Practice location
Dyersburg Skin Clinic, 1950 Cook St
Dyersburg, TN 38024
Fax (731) 286-8008
Mailing address
Pmb 363, 710 Hwy 51 Bypass
Dyersburg, TN 38024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | DO839 (TN) |
Non-Pharmacy Dispensing Site: 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.)
About NPI 1649349374
Forrest K Busch Do's National Provider Identifier is 1649349374, issued on Nov 7, 2006. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Dyersburg, TN. The record was last updated on Aug 22, 2020.