Individual
TERI BURNHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11302 AURORA AVE, URBANDALE, IA 50322-7907
(515) 334-7608
(515) 334-7610
Mailing address
11302 AURORA AVE, URBANDALE, IA 50322-7907
(515) 334-7608
(515) 334-7610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19955
IA
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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