Provider Demographics
NPI:1558893842
Name:BURR, SCOTT CURTISS (RPH)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:CURTISS
Last Name:BURR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-4405
Mailing Address - Country:US
Mailing Address - Phone:860-595-1750
Mailing Address - Fax:860-595-1758
Practice Address - Street 1:150 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-4405
Practice Address - Country:US
Practice Address - Phone:860-595-1750
Practice Address - Fax:860-595-1758
Is Sole Proprietor?:No
Enumeration Date:2017-03-28
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0007146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008043246Medicaid