Individual
COREY WAYNE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 HWY 10 E, CASHWISE PHARMACY #15, MOORHEAD, MN 56560-0000
(218) 236-0345
(218) 236-0354
Mailing address
3300 HWY 10 E, CASHWISE PHARMACY #15, MOORHEAD, MN 56560-0000
(218) 236-0345
(218) 236-0354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
116646
MN
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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