MEDICARE: DR. JULIANNA LANDON BURTON 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	1835P1200X	Pharmacotherapy Pharmacist	51340	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	009545	OTHER	CA	PI #

General Provider Information

NPI Number	:	1629075536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANNA LANDON BURTON PHARMD

Provider Business Mailing Address
First Line	:	208 TROPHY COURT
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95605-2569
Country	:	US
Telephone Number	:	916-813-1128
Fax Number	:	916-734-7402

Provider Business Practice Location Address
First Line	:	4860 Y ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2307
Country	:	US
Telephone Number	:	916-734-1426
Fax Number	:	916-734-7402

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	02/15/2023

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