Individual
MARLEY BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 W BEACON ST, PHILADELPHIA, MS 39350-3203
(601) 389-1119
(601) 389-9902
Mailing address
64 BURNS RD, UNION, MS 39365-8236
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-11695
MS
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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