Provider Demographics
NPI:1164314456
Name:BURLINGAME, TAUNA (PHARMD)
Entity type:Individual
Prefix:
First Name:TAUNA
Middle Name:
Last Name:BURLINGAME
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14333 S ROUND ROCK DR
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-8213
Mailing Address - Country:US
Mailing Address - Phone:801-635-4775
Mailing Address - Fax:
Practice Address - Street 1:3981 S WASATCH BLVD
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84124-2247
Practice Address - Country:US
Practice Address - Phone:801-272-9494
Practice Address - Fax:801-272-2687
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6114087-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist