Individual
MR. D JACK BUROKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
981 E COLUMBUS ST, KENTON, OH 43326-1650
(419) 675-2705
(419) 674-4098
Mailing address
402 E FRANKLIN ST, KENTON, OH 43326-2011
(419) 675-2575
(419) 674-4098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-1-07629
OH
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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