Provider Demographics
NPI:1457404824
Name:BURTON, MICHAEL EDMOND (PHARMD, DPH)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EDMOND
Last Name:BURTON
Suffix:
Gender:M
Credentials:PHARMD, DPH
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Mailing Address - Street 1:1110 N STONEWALL AVE # CPB211
Mailing Address - Street 2:OUHSC COLLEGE OF PHARMACY
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73117-1200
Mailing Address - Country:US
Mailing Address - Phone:405-271-6878
Mailing Address - Fax:405-271-6430
Practice Address - Street 1:700 NE 13TH ST
Practice Address - Street 2:PHARMACY DEPT., OU MEDICAL CENTER
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5004
Practice Address - Country:US
Practice Address - Phone:405-271-6878
Practice Address - Fax:405-271-6430
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK88181835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy