Healthcare Provider Details

I. General information

NPI: 1023618683
Provider Name (Legal Business Name): ROBERT ANDREW BURNS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2020
Last Update Date: 10/31/2020
Certification Date: 10/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 JUNCTION HWY
KERRVILLE TX
78028-4906
US

IV. Provider business mailing address

1216 JUNCTION HWY
KERRVILLE TX
78028-4906
US

V. Phone/Fax

Practice location:
  • Phone: 830-896-5511
  • Fax: 830-895-7911
Mailing address:
  • Phone: 830-896-5511
  • Fax: 830-895-7911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22542
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: