Individual
TARA K BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1005 THREADGRASS RD NE, RIO RANCHO, NM 87144-5761
(505) 898-9354
Mailing address
1005 THREADGRASS RD NE, RIO RANCHO, NM 87144-5761
(505) 898-9354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26019258A
IN
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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