Individual
BRANDON REID BURKHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8619 WAYNESBURG DR SE, WAYNESBURG, OH 44688-9549
(330) 866-5020
(330) 866-9096
Mailing address
16495 FREED ST SE, MINERVA, OH 44657-9106
(330) 868-7063
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03-2-28034
OH
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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