Corey Wayne Burnside

NPI 1154505345 - Pharmacist - 183500000X

NPI Details
NPI 1154505345
Gender Male
Enumeration Date 12/24/2007
Last Updated 12/24/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
3300 HWY 10 E
CASHWISE PHARMACY #15
MOORHEAD MN, 56560-0000, US
Phone (218) 236-0345
Fax (218) 236-0354
Business Location
3300 HWY 10 E
CASHWISE PHARMACY #15
MOORHEAD MN, 56560-0000, US
Phone (218) 236-0345
Fax (218) 236-0354
Toxanomy
Taxonomy Code 183500000X
License State Minnesota
License Number 116646
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According to our database, Corey Wayne Burnside NPI is 1154505345, taxonomy code is 183500000X and license number is 116646, license state is located at Minnesota. Corey Wayne Burnside physically located at 3300 Hwy 10 E, Moorhead MN, 56560-0000. NPI Number Corey Wayne Burnside has the Individual type.

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1154505345 NPI number is provided on an as is basis without warranty of any kind. 1154505345 is maintained by the National Plan & Provider Enumeration System. The contents of Corey Wayne Burnside are for informational purposes only.