MEDICARE: TAUNA BURLINGAME PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	6114087-1701	UT

General Provider Information

NPI Number	:	1164314456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAUNA BURLINGAME PHARMD

Provider Business Mailing Address
First Line	:	14333 S ROUND ROCK DR
Second Line	:
City	:	HERRIMAN
State	:	UT
Zip	:	84096-8213
Country	:	US
Telephone Number	:	801-635-4775
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 S WASATCH BLVD
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-2247
Country	:	US
Telephone Number	:	801-272-9494
Fax Number	:	801-272-2687

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	07/19/2025

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Directions to “ TAUNA BURLINGAME PHARMD” Practice Location

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