Individual
MRS. VERNANCE PATRICE BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
860 KINGSWAY DR W, GRETNA, LA 70056-3022
(504) 391-0937
Mailing address
860 KINGSWAY DR W, GRETNA, LA 70056-3022
(504) 391-0937
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15203
LA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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