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Individual

MRS. DONNA LEE BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R PH

Contact information

Practice address
668 ROUTE 70, BRICK, NJ 08723-4024
(732) 477-6733
(732) 477-8221
Mailing address
668 ROUTE 70, BRICK, NJ 08723-4024
(732) 477-6733
(732) 477-8221

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01508000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RW01557000
TAX ID
NJ
Enumeration date
03/29/2013
Last updated
03/29/2013
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