CHARLIE JOE BURSE

LEBANON, TN
NPI1871939231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: TN  8037)
Enumeration Date2013-05-13
Last Update Date2013-05-13
Business Address
Dr. CHARLIE JOE BURSE Dph
1485 WOODSIDE DR
LEBANON, TN 37087
Phone number: 901-409-4167
Mailing Address
Dr. CHARLIE JOE BURSE Dph
1485 WOODSIDE DR
LEBANON, TN 37087-8701
Phone number: 901-409-4167