Individual
NAI S BURGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 EXCHANGE ST STE 101, ASTORIA, OR 97103-3366
(503) 338-4560
(866) 248-0883
Mailing address
40129 RIVERVIEW TER, ASTORIA, OR 97103-8617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0016443
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0016443
OR
Other
Enumeration date
12/26/2017
Last updated
07/31/2024
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