Individual
JEREMY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
(704) 864-8749
Mailing address
1075 E HUDSON BLVD, GASTONIA, NC 28054-1694
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26412
NC
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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