Burgess, Josiefina Golden

Burgess, Josiefina Golden is an sole proprietor health care provider with primary practice located at 3408 Pemberton Square Blvd , Vicksburg MS 39180-5573. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Burgess, Josiefina Golden can be contacted via phone (610) 630-4003.

Contact Information

Primary practice address
3408 Pemberton Square Blvd Vicksburg MS 39180-5573
Phone: (610) 630-4003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X E-09722 Mississippi
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X E-09722 Mississippi

Profile Details

NPI number 1407494198
LBN Legal business name Burgess, Josiefina Golden
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2019
Last updated Nov 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407494198 NPPES
Mississippi Other E-09722 MS STATE BOARD OF PHARMACY

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