Individual
KATHERINE ABIGAIL BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 MAIN ST E, LOCUST, NC 28097-9723
(704) 888-6650
Mailing address
5449 COPLEY RD, STANFIELD, NC 28163-7642
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30719
NCBOP PHARMACIST LICENSE
NC
Enumeration date
08/05/2021
Last updated
01/06/2022
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