NPI 1164794749

Burton L Dunaway, PHARMD

Practitioner Pharmacist Marianna, FL

Practice location

Address: 4314 5th Ave, Marianna, FL 32446-2182
Phone: (850) 482-3924
Mailing address: 4314 5th Ave, Marianna, FL 32446-2174

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS36985 (FL)

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Registry record

NPI: 1164794749
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2012
Record last updated: 10 Apr 2018

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.