Individual
MR. STEVEN ANTHONY BURRISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2255 MAIN ST, LONGMONT, CO 80501-1488
(303) 772-7552
(303) 682-7443
Mailing address
2255 MAIN ST, LONGMONT, CO 80501-1488
(303) 772-7552
(303) 682-7443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16462
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16462
STATE LICENSE
CO
Enumeration date
04/09/2013
Last updated
04/11/2013
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