Provider Demographics
NPI:1548154719
Name:BUSH, EMILY GRAY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:GRAY
Last Name:BUSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 US HIGHWAY 80 W # B
Mailing Address - Street 2:
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732-4156
Mailing Address - Country:US
Mailing Address - Phone:334-289-8989
Mailing Address - Fax:334-289-3276
Practice Address - Street 1:951 US HIGHWAY 80 W # B
Practice Address - Street 2:
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-4156
Practice Address - Country:US
Practice Address - Phone:334-289-8989
Practice Address - Fax:334-289-3276
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist