Most Relevant Information
Provider Data
| NPI Number: | 1003422635 |
| Provider Name: | JORDAN BURNETTE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RP0012182 |
Most Important Dates
| Enumeration Date: | 09/18/2020 |
| Last Updated: | 09/18/2020 |
Provider Practice Location
1 MEDICAL CENTER DR
CLARKSBURG
WV
26301
Practice Location Phone/Fax
| Phone: | 3046233461 |
| Fax: |
Provider Mailing Location
21 DEVIN LN
MORGANTOWN
WV
265084825
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |