Individual
DR. NICHOLAS BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
950 CAMPBELL AVE # 119, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
950 CAMPBELL AVE # 119, WEST HAVEN, CT 06516-2770
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051294964
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
051294964
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
051294964
IL
Other
Enumeration date
06/27/2011
Last updated
04/22/2026
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