JOHN A BURNSIDE

CHEYENNE, WY
NPI1881117687
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183700000X Pharmacy Technician
(Licence: WY  T2515)
Enumeration Date2017-07-24
Last Update Date2017-07-24
Business Address
JOHN A BURNSIDE CPHT
1808 E 21ST ST
CHEYENNE, WY 82001-4136
Phone number: 307-286-3192
Mailing Address
JOHN A BURNSIDE CPHT
1808 E 21ST ST
CHEYENNE, WY 82001-4136
Phone number: 307-286-3192