Ryan Burt, PHARMD, BCPS

NPI #1104466242 in Twin Falls, Idaho

Provider Information

NPI Number: 1104466242
Entity Type: Individual
Name: Ryan Burt, PHARMD, BCPS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD, BCPS
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 801 POLE LINE RD W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5810
Phone: (208) 814-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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