Burstyn, Mark Randy
Burstyn, Mark Randy is an sole proprietor health care provider with primary practice located at 1326 S Baldwin Ave , Arcadia CA 91007-7512. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Burstyn, Mark Randy can be contacted via phone (626) 447-3591.Contact Information
Primary practice address
1326 S Baldwin Ave
Arcadia CA 91007-7512
Phone: (626) 447-3591
Fax: (626) 447-4679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | RPH 38647 | California |
Profile Details
| NPI number | 1013095678 |
|---|---|
| LBN Legal business name | Burstyn, Mark Randy |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 9th, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013095678 | NPPES |
| California | MEDICAID | PHA441560 | |
| California | Other | 0528399 |
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