Provider Demographics
NPI:1124527148
Name:BURNS, DEBBIE ANN (PHARM D)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:ANN
Last Name:BURNS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MRS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3132 W MARCH LN
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2354
Mailing Address - Country:US
Mailing Address - Phone:209-954-3166
Mailing Address - Fax:209-954-3176
Practice Address - Street 1:2307 COCHRAN RD
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95242-3610
Practice Address - Country:US
Practice Address - Phone:209-609-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA523111835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care