Individual
MR. ROGER C. BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 PEPPERELL PKWY, OPELIKA, AL 36801-5548
(334) 745-3632
(334) 749-3204
Mailing address
1713 PEPPERELL PKWY, OPELIKA, AL 36801-5548
(334) 745-3632
(334) 749-3204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7357
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7357
STATE LICENSE #
AL
Enumeration date
03/30/2010
Last updated
03/30/2010
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