Provider Demographics
NPI:1760480230
Name:BURNS, DAVID W (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:BURNS
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 1:105 SUNSET TER
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-6328
Mailing Address - Country:US
Mailing Address - Phone:806-220-0568
Mailing Address - Fax:
Practice Address - Street 1:5500 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-4162
Practice Address - Country:US
Practice Address - Phone:806-467-7490
Practice Address - Fax:806-467-7486
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist