Provider Demographics
NPI:1952432874
Name:BURKLAND, DEBBIE A (RPH)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:A
Last Name:BURKLAND
Suffix:
Gender:F
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:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-0627
Mailing Address - Country:US
Mailing Address - Phone:360-335-0605
Mailing Address - Fax:
Practice Address - Street 1:13511 SE 3RD WAY
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-6990
Practice Address - Country:US
Practice Address - Phone:360-885-0839
Practice Address - Fax:360-885-0843
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00041782183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist