Burdeshaw, Bruce Brooksbank
Burdeshaw, Bruce Brooksbank is an individual health care provider with primary practice located at 731 Whitlock Ave Sw , Marietta GA 30064-3033. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Burdeshaw, Bruce Brooksbank can be contacted via phone (770) 427-8155.Contact Information
Primary practice address
731 Whitlock Ave Sw
Marietta GA 30064-3033
Phone: (770) 427-8155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 09359 | Georgia |
Profile Details
| NPI number | 1669620001 |
|---|---|
| LBN Legal business name | Burdeshaw, Bruce Brooksbank |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - about 15 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.
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