Individual
JORDAN BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1 MEDICAL CENTER DR, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
21 DEVIN LN, MORGANTOWN, WV 26508-4825
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0012182
WV
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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