Individual
LESTER BURRIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2424 S WALNUT ST, BLOOMINGTON, IN 47401-7730
(812) 287-8884
Mailing address
3029 RIVER BLUFF RD, BEDFORD, IN 47421-9143
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024493A
IN
Other
Enumeration date
12/30/2014
Last updated
12/22/2015
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