Individual
CHRISTOPHER BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 NACHES AVE SW, RENTON, WA 98057-2627
(206) 630-7910
Mailing address
2603 BOYLSTON AVE E APT 1, SEATTLE, WA 98102-3236
(407) 832-0903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
IR60690612
WA
333600000X
Pharmacy
PSI40233
FL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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