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NPI Code Detail

MEDICARE: DANIEL BURK PHARM.D.

MEDICARE: DANIEL BURK 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
1183500000XPharmacistPR27851ME

General Provider Information

NPI Number : 1770965295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL BURK PHARM.D.
Provider Business Mailing Address
First Line : 35 PARK ST
Second Line :
City : MILO
State : ME
Zip : 04463-1152
Country : US
Telephone Number : 207-943-2212
Fax Number :
Provider Business Practice Location Address
First Line : 35 PARK ST
Second Line :
City : MILO
State : ME
Zip : 04463-1152
Country : US
Telephone Number : 207-943-2212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2015
Last Update Date : 06/20/2015

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Directions to “ DANIEL BURK PHARM.D.” Practice Location

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