MEDICARE: DR. JOSEPH TODD BURROW PHARM. D.

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	PD09166	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841888542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH TODD BURROW PHARM. D.

Provider Business Mailing Address
First Line	:	PO BOX 248
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-0248
Country	:	US
Telephone Number	:	501-882-5425
Fax Number	:	501-882-7147

Provider Business Practice Location Address
First Line	:	45 HIGHWAY 64 W
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-9500
Country	:	US
Telephone Number	:	501-882-5425
Fax Number	:	501-882-7147

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

Provider Enumeration Date	:	01/07/2021
Last Update Date	:	01/07/2021

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