Individual
JEFFERY DAVID BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
146 COURVILLE LN, EUNICE, LA 70535-6729
(337) 305-1913
Mailing address
146 COURVILLE LN, EUNICE, LA 70535-6729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022144
LA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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