Amber G. Burdeau, PHARMD
Individual provider Active NPI Pharmacist · Poison, MT
NPI 1245548437 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1245548437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6259 (MT)
- Practice address
- 5 4TH Ave. E
Poison, MT 59860-4123 - Phone
- (406) 745-3525
- Fax
- (406) 745-3529
- NPI assigned
- Sep 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 6259 | MT | MD | Pharmacist |
| PH60164193 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6259 | MT | Yes |
| Pharmacist | 183500000X | PH60164193 | WA |
Addresses
Primary practice location
5 4TH Ave. E
Poison, MT 59860-4123
Mailing address
P. O. Box 880
St. Ignatius, MT 59865
Phone (406) 745-3525
Other providers in Poison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. 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.