Provider Demographics
NPI:1669421723
Name:BURAND, DAVID (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:BURAND
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 1:6273 EDERLINE LANE
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-7730
Mailing Address - Country:US
Mailing Address - Phone:317-332-6833
Mailing Address - Fax:630-595-3264
Practice Address - Street 1:5751 W 73RD STREET
Practice Address - Street 2:A
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-4627
Practice Address - Country:US
Practice Address - Phone:317-332-6833
Practice Address - Fax:630-595-3264
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26015313A183500000X
IN26015313183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN60006725AOtherINDIANA BOARD OF PHARMACY
IN60006728AOtherINDIANA BOARD OF PHARMACY