Individual
RANDALL KEITH BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
343 AMY RD, POCAHONTAS, AR 72455-1292
(870) 378-7802
Mailing address
343 AMY RD, POCAHONTAS, AR 72455-1292
(870) 378-7802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
042420
MO
183500000X
Pharmacist
Primary
PD07553
AR
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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