NPI 1003031303

Penny Gibbons Burke, RPH

Practitioner Pharmacist Stockton, CA

Practice location

Address: 1212 N California St, Stockton, CA 95202-1552
Phone: (209) 468-8711
Fax: (209) 468-8712

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH 38696 (CA)

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Registry record

NPI: 1003031303
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.