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DR. TERRY BURGESS

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1780130310

Individual Registrant:
DR. TERRY  BURGESS 
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: --

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: --  Fax: --

Registration Information:
NPI: 1780130310
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
SC36549

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AZ - Page 1



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