Individual
STEPHEN BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4111 EXECUTIVE PKWY, WESTERVILLE, OH 43081-3869
(614) 898-3291
Mailing address
4111 EXECUTIVE PKWY, WESTERVILLE, OH 43081-3869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03120926
OH
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
03120926
OH
Other
Enumeration date
04/27/2017
Last updated
10/16/2020
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