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Jodie Burnett, R.Ph

Pharmacist in Poplar Bluff, MO. Individual provider (NPI-1).

NPI number1275959538
StatusActive
Last updated in NPPESOct 27, 2020

Details

NPI
1275959538
Entity type
Individual (NPI-1)
Name
Mrs. Jodie Burnett
Credential
R.Ph
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2014
Certification date
Oct 27, 2020
Last updated
Oct 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist2001029145MOYes

Practice location

333 S Westwood Blvd Ste Ofc
Poplar Bluff, MO 63901-5500

Phone 573-686-6539

Mailing address

Po Box 425
Dexter, MO 63841-0425

Phone 573-820-0043

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