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Individual

MR. CHARLES M BURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
312 S MAIN ST, HARTFORD, KY 42347-1129
(270) 298-3278
(270) 298-3290
Mailing address
312 MAIN ST, HARTFORD, KY 42347-1129
(270) 298-3278
(270) 298-3290

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012780
KY

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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