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JOHNNY HILTON BURNS PD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1104957018
Individual Registrant: JOHNNY HILTON BURNS PD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
134 BLOCK ST MARION, AR 72364-1956 US
Tel: 870-739-4400 Fax: --
Tel: 870-739-4400 Fax: --
Contact information for business:
134 BLOCK ST MARION, AR 72364-1956 US
Tel: 870-739-4400 Fax: --
Tel: 870-739-4400 Fax: --
Registration Information:
NPI: 1104957018
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | 4976 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
