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Individual
MR. MARK LOUIS BURGER
Active
Individual
MR. MARK LOUIS BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051039256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051039256
RPH LICENSE NUMBER
IL
Enumeration date
06/02/2022
Last updated
06/02/2022
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