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Individual

MRS. LISA ANNETTE BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
11121 N RODNEY PARHAM RD STE 42B, LITTLE ROCK, AR 72212-4108
(501) 223-2636
(501) 224-5253
Mailing address
2102 SAWGRASS DR, LITTLE ROCK, AR 72212-2677
(501) 950-7575

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD07629
AR

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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