Individual
JESSICA BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
2606 AVENUE L, FORT MADISON, IA 52627-3839
(319) 372-9396
Mailing address
2606 AVENUE L, FORT MADISON, IA 52627-3839
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23419
IA
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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