Burgoyne, Lori Tewksbury

Burgoyne, Lori Tewksbury is an individual health care provider with primary practice located at 500 N Us Highway 89 , Prescott AZ 86313-5001. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is her primary health care specialty. Burgoyne, Lori Tewksbury can be contacted via phone (928) 445-4860.

Contact Information

Primary practice address
500 N Us Highway 89 Prescott AZ 86313-5001
Phone: (928) 445-4860
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X S007469 Arizona
Pharmacy Service Providers / Geriatric 1835G0303X S007469 Arizona

Profile Details

NPI number 1376842245
LBN Legal business name Burgoyne, Lori Tewksbury
Credentials RPH, CGP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Mar 18th, 2011 - about 13 years ago

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 1376842245 NPPES
Arizona Other S007469 PHARMACY LICENSE

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