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NPI Code Detail

MEDICARE: RYAN BURROW

MEDICARE: RYAN BURROW
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
1183500000XPharmacist44504TN
2183500000XPharmacist0202218963VA

General Provider Information

NPI Number : 1841803350
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN BURROW
Provider Business Mailing Address
First Line : 668 W MAIN ST
Second Line :
City : ABINGDON
State : VA
Zip : 24210-2510
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 668 W MAIN ST
Second Line :
City : ABINGDON
State : VA
Zip : 24210-2510
Country : US
Telephone Number : 276-628-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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Directions to “ RYAN BURROW ” Practice Location

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