NPI 1104466242

Ryan Burt, PHARMDBCPS

Practitioner Pharmacist Twin Falls, ID

Practice location

Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: (208) 814-2500
Mailing address: 662 Sunfire Dr, Twin Falls, ID 83301-8532

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P6672 (ID)

Other Pharmacist providers in Idaho →

Registry record

NPI: 1104466242
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2020
Record last updated: 7 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.