Individual
CARLA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
8150 THOMPSON RD, CICERO, NY 13039-9379
(315) 699-0340
Mailing address
8150 THOMPSON RD, CICERO, NY 13039-9379
(315) 699-0340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045613
NY
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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