Individual
MRS. JODIE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
333 S WESTWOOD BLVD STE OFC, POPLAR BLUFF, MO 63901-5500
(573) 686-6539
Mailing address
PO BOX 425, DEXTER, MO 63841-0425
(573) 820-0043
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2001029145
MO
Other
Enumeration date
03/11/2014
Last updated
10/27/2020
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