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NPI Code Detail

MEDICARE: MS. DONNA L BURKETT PHARMD

MEDICARE: MS. DONNA L BURKETT PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS43798FL

General Provider Information

NPI Number : 1356688022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA L BURKETT PHARMD
Provider Business Mailing Address
First Line : 13900 COUNTY ROAD 455
Second Line :
City : CLERMONT
State : FL
Zip : 34711-9052
Country : US
Telephone Number : 407-877-1565
Fax Number : 407-877-1562
Provider Business Practice Location Address
First Line : 13900 COUNTY ROAD 455
Second Line :
City : CLERMONT
State : FL
Zip : 34711-9052
Country : US
Telephone Number : 407-877-1565
Fax Number : 407-877-1562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2013
Last Update Date : 01/14/2013

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Directions to “ MS. DONNA L BURKETT PHARMD” Practice Location

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