Burton George Lade, R.PH.

NPI #1336471671 in Bemidji, Minnesota

Provider Information

NPI Number: 1336471671
Entity Type: Individual
Name: Burton George Lade, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Feb 11, 2010
Last Updated: Feb 11, 2010

Practice Location

Address: 1401 PAUL BUNYAN DR NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-4155
Phone: (218) 751-8178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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