Individual
MRS. GINA MARIE BURTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
10211 CHESTNUT PLAZA DR, FORT WAYNE, IN 46814-8970
(260) 625-4831
(260) 625-5061
Mailing address
2918 SETTLEMENT CREEK RUN, FORT WAYNE, IN 46804-6039
(260) 432-0195
(260) 625-5061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016420A
IN
183500000X
Pharmacist
PS25364
FL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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