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Individual

DR. BRITA BURDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
835 S WASHINGTON ST, SUITE 2, BISMARCK, ND 58504-5477
(701) 223-1656
Mailing address
PO BOX 994, BISMARCK, ND 58502-0994
(701) 223-1656

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4982
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28256
BC BS INDIVIDUAL PROVIDER
ND
Enumeration date
06/25/2007
Last updated
07/08/2007
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