Individual
ANDREW BURKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 S PLAZA WAY, FLAGSTAFF, AZ 86001-6318
(928) 779-3401
Mailing address
1201 S PLAZA WAY, FLAGSTAFF, AZ 86001-6318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S020667
AZ
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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