DR. Stacy Ivin Burke, PHARMD

NPI #1114263985 in Winder, Georgia

Provider Information

NPI Number: 1114263985
Entity Type: Individual
Name: DR. Stacy Ivin Burke, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Dec 21, 2012
Last Updated: Dec 21, 2012

Practice Location

Address: 158 WOODLAWN AVE
City: Winder
State: Georgia
ZIP Code: 30680-2546
Phone: (770) 375-5685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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