Provider Demographics
NPI:1427345529
Name:BURKE, JULIANNA (RPH)
Entity type:Individual
Prefix:MRS
First Name:JULIANNA
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 MAPLE AVE
Mailing Address - Street 2:APT. 1
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3584
Mailing Address - Country:US
Mailing Address - Phone:617-733-1484
Mailing Address - Fax:
Practice Address - Street 1:73 WINTHROP AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-2836
Practice Address - Country:US
Practice Address - Phone:978-687-0445
Practice Address - Fax:978-687-6554
Is Sole Proprietor?:No
Enumeration Date:2011-07-09
Last Update Date:2011-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH23625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist