Individual
MONICA BURLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12999 SE 169TH AVE APT 150, HAPPY VALLEY, OR 97086-8722
(864) 594-1235
Mailing address
12999 SE 169TH AVE APT 150, HAPPY VALLEY, OR 97086-8722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9693
SC
183500000X
Pharmacist
Primary
RPH0016419
OR
Other
Enumeration date
03/27/2021
Last updated
03/27/2021
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