Individual
MR. CECIL RAYMOND BURKE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E WASHINGTON ST, LA GRANGE, NC 28551-1834
(252) 566-9595
(252) 566-0336
Mailing address
301 E WASHINGTON ST, LA GRANGE, NC 28551-1834
(252) 566-9595
(252) 566-0336
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7418
NC
Other
Enumeration date
06/28/2015
Last updated
06/28/2015
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