Provider Demographics
NPI:1548269277
Name:BUSKER, AMY MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:BUSKER
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 1:7132 MCCANN CT
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-3600
Mailing Address - Country:US
Mailing Address - Phone:952-693-3588
Mailing Address - Fax:
Practice Address - Street 1:7505 METRO BLVD STE 100
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-3017
Practice Address - Country:US
Practice Address - Phone:612-214-0381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN116819-3183500000X
MN1168191835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN116819OtherMN BOARD OF PHARMACY