Individual
DR. MAX EUGENE BURCHETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4929
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
(405) 948-4929
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
15444
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15444
OK PHARMACY LICENSE
OK
Enumeration date
08/20/2014
Last updated
02/18/2021
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