National Provider Identifier

Shawn Burke

Shawn Burke is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 272-6290.

NPI 1871931899Ithaca, NYPharmacist

Profile Overview

NPI
1871931899
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
June 12, 2013
Last Updated
June 12, 2013

Practice Location

  • 615 S Meadow St
  • Ithaca, NY 14850-5358

Phone: (607) 272-6290

Mailing Address

  • 62 N Lewis St
  • Auburn, NY 13021-2020

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1871931899
Entity Type
Individual
Last Name
Burke
First Name
Shawn
Mailing Street Address
62 N Lewis St
Mailing City
Auburn
Mailing State
NY
Mailing ZIP Code
13021-2020
Mailing Country
US
Practice Street Address
615 S Meadow St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5358
Practice Country
US
Practice Phone
(607) 272-6290
Enumeration Date
June 12, 2013
Last Updated
June 12, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)