Individual
JOEL BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
110 LEROUX ST, DONIPHAN, MO 63935-1001
(573) 996-4000
(573) 996-3239
Mailing address
110 LEROUX ST, DONIPHAN, MO 63935-1001
(573) 996-4000
(573) 996-3239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043815
MO
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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