Individual
COREY TYLER BURNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 S 99TH AVE, TOLLESON, AZ 85353-9700
(623) 907-4938
Mailing address
4780 W TYSON ST, CHANDLER, AZ 85226-2906
(480) 273-7321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S024782
AZ
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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