NPI 1396484648

Mark Louis Burger, RPH

Practitioner Pharmacist Elburn, IL

Practice location

Address: 1440 Melbourne St, Elburn, IL 60119-8402
Phone: (630) 715-6258

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051039256 (IL)

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Registry record

NPI: 1396484648
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jun 2022
Record last updated: 2 Jun 2022

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.