Healthcare Provider Details

I. General information

NPI: 1871828087
Provider Name (Legal Business Name): BARBARA JEAN BURIC PHARMACIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4707 E SHEA BLVD
PHOENIX AZ
85028-4215
US

IV. Provider business mailing address

3246 E BELL RD
PHOENIX AZ
85032-2727
US

V. Phone/Fax

Practice location:
  • Phone: 480-367-3973
  • Fax: 480-367-3967
Mailing address:
  • Phone: 602-765-4633
  • Fax: 602-765-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number8889
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: