Individual
DR. JOSIEFINA GOLDEN BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3408 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5573
(610) 630-4003
Mailing address
3408 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5573
(601) 630-4003
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-09722
MS
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
E-09722
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-09722
MS STATE BOARD OF PHARMACY
MS
Enumeration date
12/13/2019
Last updated
11/27/2023
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