Individual
BLAKE BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 W WIMBLEDON WAY, ROGERS, AR 72758-1409
(501) 554-4695
(844) 205-3530
Mailing address
17 W WIMBLEDON WAY, ROGERS, AR 72758-1409
(501) 554-4695
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD11287
AR
Other
Enumeration date
01/10/2020
Last updated
01/17/2020
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