Corey Wayne Burnside in Moorhead - Pharmacist
Corey Wayne Burnside - NPI 1154505345
Corey Wayne Burnside is a Pharmacist in Moorhead, Minnesota. Corey Wayne Burnside practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Corey Wayne Burnside is 1154505345. The last update date is 2007-12-24.
Corey Wayne Burnside's current location address is 3300 Hwy 10 E, Moorhead, Minnesota. You can contact this provider via phone number 2182360345 and fax number 2182360354. The mailing address for Corey Wayne Burnside is 3300 Hwy 10 E, Moorhead, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Corey Wayne Burnside |
|---|---|
| Address | 3300 Hwy 10 E, Moorhead, Minnesota |
| Phone Number | 2182360345 |
| Fax Number | 2182360354 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1154505345 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2007-12-24 |
Provider Mailing Address Detail
| Address | 3300 Hwy 10 E |
|---|---|
| City | Moorhead |
| State | Minnesota (MN) |
| Post Code | 565600000 |
| Phone Number | 2182360345 |
| Fax Number | 2182360354 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 116646 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Corey Wayne Burnside?
The Corey Wayne Burnside has been issued the NPI (National Provider Identifier) 1154505345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Corey Wayne Burnside is geographically located?
The Corey Wayne Burnside is physically situated at the following location: 3300 Hwy 10 E, Moorhead, MN, 565600000.
What is Corey Wayne Burnside's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Corey Wayne Burnside is Pharmacist, and the taxonomy classification code that categorizes this area of expertise is 183500000X.
On what date did Corey Wayne Burnside receive its 1154505345 assignment from the Centers for Medicare & Medicaid Services?
The Corey Wayne Burnside was assigned its 1154505345 on 2007-12-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Corey Wayne Burnside, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Corey Wayne Burnside, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-24.