Individual
JEANA LEE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32 JEREMY WOODS DR, SOUTHINGTON, CT 06489-4110
(518) 248-7128
Mailing address
32 JEREMY WOODS DR, SOUTHINGTON, CT 06489-4110
(518) 248-7128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013422
CT
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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