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Contact Information

RICKY E BURGESS
12515 E 55TH ST STE 101
TULSA, OK74146-6234
 Phone: 918-493-2727
 Fax: 800-375-2729
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for RICKY E BURGESS · (Male)

NPI Number 1205308749
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2018
Last updated 12/21/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 15155
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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