Individual
MR. ROBERT R BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2486 SHILDMYER RD, MARION, IN 46952-1000
(176) 538-4415
Mailing address
2486 SHILDMYER RD, MARION, IN 46952-1000
(176) 538-4415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26013276A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26013276A
—
IN
Enumeration date
11/23/2020
Last updated
11/23/2020
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