Individual
JEFFREY FRANCIS BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SALMON BROOK ST, GRANBY, CT 06035-2604
(860) 844-8346
(860) 844-8346
Mailing address
1138 BLOSSOM ST, SUFFIELD, CT 06078-1052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0008389
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PCT0008389
PHARMACY REGISTRATION
CT
Enumeration date
07/20/2017
Last updated
06/16/2018
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