Individual
DR. JASON PAUL BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
315 3RD ST NW, ATTALLA, AL 35954-2250
(256) 538-9699
Mailing address
315 3RD ST NW, ATTALLA, AL 35954-2250
(256) 295-4612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19383
AL
Other
Enumeration date
03/25/2015
Last updated
11/30/2020
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