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NPI Code Detail

MEDICARE: DR. ERIN MARIE BURTON PHARMD

MEDICARE: DR. ERIN MARIE BURTON PHARMD
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
1183500000XPharmacist122986MN

General Provider Information

NPI Number : 1851815088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN MARIE BURTON PHARMD
Provider Business Mailing Address
First Line : 1636 FERNWOOD ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55108-2221
Country : US
Telephone Number : 218-329-6799
Fax Number :
Provider Business Practice Location Address
First Line : 4205 PHEASANT RIDGE DR NE
Second Line :
City : BLAINE
State : MN
Zip : 55449-4529
Country : US
Telephone Number : 763-784-0334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2017
Last Update Date : 07/30/2017

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