Individual
JOHNNY WAYNE BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 GREENVILLE ROAD, NORTONVILLE, KY 42442
(270) 676-8268
(270) 676-8205
Mailing address
134 RIDGEWOOD LN, GREENVILLE, KY 42345-4562
(270) 338-5764
(270) 676-8205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006708
KENTUCKY PHARMACIST LIC/
KY
Enumeration date
08/01/2006
Last updated
07/08/2007
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