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Individual

DR. RANDY WAYNE BURDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
609 CHRISTOPHER DR, BELEN, NM 87002-2615
(505) 864-5454
(505) 864-5450
Mailing address
4 MANGHAM CT, PERALTA, NM 87042-8847
(505) 565-3377

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PC 50
NM
1835P1200X
Pharmacotherapy Pharmacist
00006232
NM

Other

Enumeration date
02/22/2007
Last updated
04/04/2008
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