Noah Paul Burlison Valid NPI
Individual provider · Pharmacist · Minooka, IL
- NPI
- 1245938232
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 051.305315 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-02-20
- Last updated
- 2023-02-20
Practice location
2051 Ridge Rd
Minooka, IL 60447-8863
(815) 467-1254