Individual
BRANDON BURRISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3404 INDIANA AVE, LUBBOCK, TX 79413-2302
(806) 792-7531
(806) 792-8336
Mailing address
5302 44TH ST, LUBBOCK, TX 79414-1322
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
45415
TX
Other
Enumeration date
11/27/2009
Last updated
11/27/2009
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