Individual
MR. MARK E BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-0001
(202) 267-0694
(202) 267-4685
Mailing address
USCG HQ, COMDT (CG-1122), 2100 2ND STREET, RM 5314, WASHINGTON, DC 20593-0001
(202) 267-0694
(202) 267-4685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29498
TX
Other
Enumeration date
12/23/2005
Last updated
05/08/2008
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