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NPI Code Detail

MEDICARE: FRANKLIN GAIL BURTON II R.PH.

MEDICARE: FRANKLIN GAIL BURTON II R.PH.
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
1183500000XPharmacist9537MS
2183500000XPharmacist8920TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19537OTHERMSLICENSE
28920OTHERTNLICENSE

General Provider Information

NPI Number : 1790805794
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANKLIN GAIL BURTON II R.PH.
Provider Business Mailing Address
First Line : 10052 N COCKRUM DR
Second Line :
City : HERNANDO
State : MS
Zip : 38632-7119
Country : US
Telephone Number : 662-233-4567
Fax Number :
Provider Business Practice Location Address
First Line : 7253 GOODMAN RD
Second Line :
City : OLIVE BRANCH
State : MS
Zip : 38654-1906
Country : US
Telephone Number : 662-895-8383
Fax Number : 662-895-9088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2007
Last Update Date : 07/08/2007

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Directions to “ FRANKLIN GAIL BURTON II R.PH.” Practice Location

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