Provider Demographics
NPI:1649416298
Name:BURFEIND, RYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:BURFEIND
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 161529
Mailing Address - Street 2:
Mailing Address - City:BIG SKY
Mailing Address - State:MT
Mailing Address - Zip Code:59716-1529
Mailing Address - Country:US
Mailing Address - Phone:406-995-6500
Mailing Address - Fax:406-995-6510
Practice Address - Street 1:334 TOWN CENTER AVENUE
Practice Address - Street 2:
Practice Address - City:BIG SKY
Practice Address - State:MT
Practice Address - Zip Code:59716
Practice Address - Country:US
Practice Address - Phone:406-995-6500
Practice Address - Fax:406-995-6510
Is Sole Proprietor?:No
Enumeration Date:2009-01-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00068296183500000X
IDP7407183500000X
MT5346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDP7407OtherIDAHO STATE PHARMACIST LICENSE
WAPH00068296OtherWASHINGTON STATE PHARMACIST LICENSE
MT5346OtherMONTANA STATE PHARMACIST LICENSE