Mark E Burroughs, PHARMD
Individual provider Active NPI Pharmacist · Washington, DC
NPI 1023095759 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1023095759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 29498 (TX)
- Practice address
- Uscg HQ, Comdt (CG-1122)
2100 2ND Street, RM 5314
Washington, DC 20593-0001 - Phone
- (202) 267-0694
- Fax
- (202) 267-4685
- NPI assigned
- Dec 23, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29498 | TX | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29498 | TX | Yes |
Addresses
Primary practice location
Uscg HQ, Comdt (CG-1122)
2100 2ND Street, RM 5314
Washington, DC 20593-0001
Mailing address
Uscg HQ, Comdt (CG-1122)
2100 2ND Street, RM 5314
Washington, DC 20593-0001
Phone (202) 267-0694
Other providers in Washington, DC
- Desmond Burris
- James F. Burris
- Timothy Ray Burrise
- Tyrone Burrison
- Michael Burriss
- Richard Francis Burroughs
- Sonya Makeba Burroughs
- Terredell Burroughs
- Troy W Burroughs
- Peyton Ann Burrow
All providers in Washington, DC · Pharmacist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.