Individual
FRANKLIN GAIL BURTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
7253 GOODMAN RD, OLIVE BRANCH, MS 38654-1906
(662) 895-8383
(662) 895-9088
Mailing address
10052 N COCKRUM DR, HERNANDO, MS 38632-7119
(662) 233-4567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8920
TN
183500000X
Pharmacist
Primary
9537
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8920
LICENSE
TN
01
—
9537
LICENSE
MS
Enumeration date
03/31/2007
Last updated
07/08/2007
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