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DR. TERRY BURGESS
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1780130310
Individual Registrant:DR. TERRY BURGESS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 W HOSPITAL DR WHITERIVER, AZ 85941-0000 US
Tel: 928-338-3502 Fax: --
Tel: 928-338-3502 Fax: --
Contact information for business:
PO BOX 860 WHITERIVER, AZ 85941-0860 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1780130310
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | SC | 36549 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
