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MRS. KATHLEEN MARY BURKHOLDER R.PH.
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1437167988
Individual Registrant:MRS. KATHLEEN MARY BURKHOLDER R.PH.
Gender: F
Not Sole Proprietor
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
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
Tel: 419-647-4584 Fax: 419-647-6231
Registration Information:
NPI: 1437167988
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | OH | 03113509 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
