Individual
DONNA RENE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
UK BLUEGRASS CARE CLINIC 740 S LIMESTONE L504, LEXINGTON, KY 40536-0001
(210) 632-0117
Mailing address
2201 OLMSTEAD CT, LEXINGTON, KY 40513-1804
(210) 632-0117
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
016310
KY
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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