Individual
JOHN MICHAEL BURGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
585 SCHENECTADY AVE, DEPARTMENT OF PHARMACY, BROOKLYN, NY 11203-1809
(718) 363-6659
Mailing address
585 SCHENECTADY AVE, DEPARTMENT OF PHARMACY, BROOKLYN, NY 11203-1809
(718) 363-6659
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
055227
NY
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
055227
NY
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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