Individual
MAKALA BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
4380 COMMERCIAL ST SE, SALEM, OR 97302-3914
(503) 399-8148
Mailing address
4380 COMMERCIAL ST SE, SALEM, OR 97302-3914
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011682
OR
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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