Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Burgundie Bullock, PHARMD

Individual provider Pharmacist · NPI 1528877594

Burgundie Bullock, PHARMD is a Pharmacist in Idaho Falls, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2025
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

2252 Coronado St
Idaho Falls, ID 83404-7552
Phone: (208) 523-3360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2325 Coronado St, Idaho Falls, ID 83404-7407 — (208) 557-2738
  • 456 Sunflower Rd, Rexburg, ID 83440-4921 — (208) 220-8231

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence I75864 (ID)

Record details

NPI number1528877594
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJanuary 4, 2025
Last updated in NPPESJanuary 4, 2025
Certification dateJanuary 4, 2025

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