Individual
MRS. LAURA LYNN BURCHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
4601 IRONBOUND RD, EASTERN STATE HOSPITAL, WILLIAMSBURG, VA 23188-2652
(757) 253-5327
(757) 253-4521
Mailing address
9727 OLD STAGE RD, TOANO, VA 23168
(757) 566-1991
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230002209
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0230002209
PHARMACY TECHNICIAN
VA
Enumeration date
08/03/2005
Last updated
03/21/2008
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