NPI 1508750704 · live from the CMS NPI Registry
Tembisa Burgess
Pharmacy Technician in Provo, UT. National Provider Identifier 1508750704, active.
NPI record
| NPI | 1508750704 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy Technician 183700000X |
| Practice location | 1315 N State St, Provo, UT 84604 |
| Practice phone | 801-616-5223 |
| Enumerated | June 4, 2025 |
| Last updated | June 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy Technician primary | 183700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.