Provider Demographics
NPI:1265202766
Name:BURKES, BRIANA LASHUN (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:LASHUN
Last Name:BURKES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 SUNRISE RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08009-1573
Mailing Address - Country:US
Mailing Address - Phone:769-226-3024
Mailing Address - Fax:
Practice Address - Street 1:2614 RICHMOND HWY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-5011
Practice Address - Country:US
Practice Address - Phone:540-657-4593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221705183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist