Clive Buruchara, PharmD
Pharmacist, Oncology in Maple Grove, MN. Individual provider (NPI-1).
NPI number1932886355
StatusActive
Last updated in NPPESJun 28, 2023
Details
- NPI
- 1932886355
- Entity type
- Individual (NPI-1)
- Name
- Clive Buruchara
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2023
- Certification date
- Jun 28, 2023
- Last updated
- Jun 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1835X0200X | Pharmacist, Oncology | 117935 | MN | Yes |
Practice location
10150 Niagara Ln N Ste 100Maple Grove, MN 55369-7588
Phone 763-220-1316
Mailing address
10150 Niagara Ln N Ste 100Maple Grove, MN 55369-7588
Phone 763-218-7583
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