Individual
MR. GARRETT M BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 S THOR ST, SPOKANE, WA 99202-5075
(509) 532-4033
(509) 532-4027
Mailing address
400 S THOR ST, SPOKANE, WA 99202-5075
(509) 532-4033
(509) 532-4027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
WA00016651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6024640
—
WA
Enumeration date
02/21/2012
Last updated
02/21/2012
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