Provider Demographics
NPI:1740319193
Name:SILVER, BURTON GERALD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BURTON
Middle Name:GERALD
Last Name:SILVER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20835 JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3192
Mailing Address - Country:US
Mailing Address - Phone:714-779-1628
Mailing Address - Fax:
Practice Address - Street 1:4037 BALL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3463
Practice Address - Country:US
Practice Address - Phone:714-821-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25788183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist