Individual
MR. KIPLAND JAY BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
302 N MAIN ST, RUSHVILLE, IN 46173-1694
(765) 932-3328
(765) 932-3824
Mailing address
1366 S 350 E, RUSHVILLE, IN 46173-9561
(765) 561-5467
(765) 932-3824
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014474A
IN
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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