Individual
CHAD E BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA, MSMIT
Contact information
Practice address
2750 ALLISON LN, JEFFERSONVILLE, IN 47130-5900
(812) 218-6610
Mailing address
1526 QUAIL RIDGE TRL, NEW ALBANY, IN 47150-9657
(502) 599-1021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
015672
KY
183500000X
Pharmacist
Primary
26024277A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015672
KENTUCKY LICENSE
KY
01
—
26024277A
INDIANA LICENSE
IN
Enumeration date
07/12/2006
Last updated
04/22/2024
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