Provider Information for 1992849764
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JOHNNY H BURNS, T/A MARION DISCONT PHARMACY
Organization Subpart: NO
NPI: 1992849764
Last Updated: 2008-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992849764 | ||||||||
| Enumeration Date | 2007-02-16 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: Mr. JOHNNY H BURNS Sr. RPh Title: owner,pharmacits Phone: 8707394400 | ||||||||
| Mailing Address | 134 BLOCK ST MARION, AR 72364-1956 United States Phone: 870-739-4400 | Fax: | ||||||||
| Primary Practice Address | 134 BLOCK ST MARION, AR 72364-1956 United States Phone: 870-739-4400 | Fax: | ||||||||
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