| NPI | 1205218575 |
|---|---|
| Professional Name | GERALD BURNHAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: RI RPH04090) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH16806) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |