Organization
FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D FRED BURTON RPH (OWNER PHARMACIST)
(937) 592-2826
Entity
Organization
Contact information
Practice address
124 S MAIN ST, BELLEFONTAINE, OH 43311-2052
(937) 592-2826
(937) 592-0913
Mailing address
124 S MAIN ST, BELLEFONTAINE, OH 43311-2052
(937) 592-2826
(937) 592-0913
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
020759050
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0945615
—
OH
01
—
3616692
NABPT
—
Enumeration date
12/14/2005
Last updated
06/25/2008
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