Individual
KEN EDWIN BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
29 BLACK COLE DR, FT. WASHIKIE, WY 82514-0128
(307) 335-5900
Mailing address
4438 CHARLES RONALD AVE., FT. WASHIKIE, WY 82514-0127
(307) 335-5900
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
10414
NV
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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