Individual
CHARLES JEFFREY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12100 PLANTSIDE DR, LOUISVILLE, KY 40299-6343
(800) 662-7085
Mailing address
3822 KLONDIKE LN, LOUISVILLE, KY 40218-1765
(276) 202-5368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
020180
KY
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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