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MRS. KATHLEEN MARY BURKHOLDER R.PH.

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437167988

Individual Registrant:
MRS. KATHLEEN MARY BURKHOLDER R.PH.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
102 S BROADWAY ST  SPENCERVILLE, OH 45887-1267 US
Tel: 419-647-4584  Fax: 419-647-6231

Contact information for business:
102 S BROADWAY ST  SPENCERVILLE, OH 45887-1267 US
Tel: 419-647-4584  Fax: 419-647-6231

Registration Information:
NPI: 1437167988
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
OH03113509

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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