Organization
VERIDICUS CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S BURGOYNE PHARM D (PRESIDENT)
(801) 865-1997
Entity
Organization
Contact information
Practice address
4190 HIGHLAND DR, # 250, HOLLADAY, UT 84124-2600
(801) 865-1997
Mailing address
4190 HIGHLAND DR, # 250, HOLLADAY, UT 84124-2600
(801) 865-1997
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2755631701
UT
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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