Healthcare Provider Details

I. General information

NPI: 1629075536
Provider Name (Legal Business Name): JULIANNA LANDON BURTON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 Y ST
SACRAMENTO CA
95817-2307
US

IV. Provider business mailing address

208 TROPHY COURT
WEST SACRAMENTO CA
95605-2569
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-1426
  • Fax: 916-734-7402
Mailing address:
  • Phone: 916-813-1128
  • Fax: 916-734-7402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number51340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: