Burchett, Max Eugene
Burchett, Max Eugene is an sole proprietor health care provider with primary practice located at 4913 W Reno Ave , Oklahoma City OK 73127-6339. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Burchett, Max Eugene can be contacted via phone (405) 948-4900.Contact Information
Primary practice address
4913 W Reno Ave
Oklahoma City OK 73127-6339
Phone: (405) 948-4900
Fax: (405) 948-4929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 15444 | Oklahoma |
Profile Details
| NPI number | 1629477120 |
|---|---|
| LBN Legal business name | Burchett, Max Eugene |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2014 |
| Last updated | Feb 18th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629477120 | NPPES |
| Oklahoma | Other | 15444 | OK PHARMACY LICENSE |
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