MEDICARE: MR. DAVID BURAND RPH

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	26015313A	IN
2	183500000X	Pharmacist	26015313	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60006725A	OTHER	IN	INDIANA BOARD OF PHARMACY
2	60006728A	OTHER	IN	INDIANA BOARD OF PHARMACY

General Provider Information

NPI Number	:	1669421723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID BURAND RPH

Provider Business Mailing Address
First Line	:	6273 EDERLINE LANE
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46062-7730
Country	:	US
Telephone Number	:	317-332-6833
Fax Number	:	630-595-3264

Provider Business Practice Location Address
First Line	:	5751 W 73RD STREET
Second Line	:	A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46278-4627
Country	:	US
Telephone Number	:	317-332-6833
Fax Number	:	630-595-3264

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

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	06/14/2019

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Directions to “ MR. DAVID BURAND RPH” Practice Location

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