Individual
MRS. ELIZABETH JANE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3714 NORRISVILLE RD, JARRETTSVILLE, MD 21084-1419
(410) 557-7717
(410) 557-4336
Mailing address
PO BOX 57, JARRETTSVILLE, MD 21084-0057
(410) 557-7717
(410) 557-4336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12152
MD
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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