Individual
DR. DOUGLAS BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
4190 HIGHLAND DR, SUITE 250, SALT LAKE CITY, UT 84124-2600
(801) 865-1997
Mailing address
4190 HIGHLAND DR, SUITE 250, SALT LAKE CITY, UT 84124-2600
(801) 865-1997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
275563-1701
UT
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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