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Contact Information

CLIVE BURUCHARA, PHARM.D.
10150 NIAGARA LN N STE 100
MAPLE GROVE, MN55369-7588
 Phone: 763-220-1316
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oncology

1835X0200X
Indicates primary specialty

NPI Profile & details for CLIVE BURUCHARA · (Male)

NPI # 1932886355
Status Active
Credentials PHARM.D. (Doctor of Pharmacy)
Entity Individual
Enumeration date 06/28/2023
Last updated 06/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 117935
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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