Provider Demographics
NPI:1093700700
Name:BURKHOLDER, JUNE D (RPH)
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:D
Last Name:BURKHOLDER
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 1:254 MORRIS RD
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-2648
Mailing Address - Country:US
Mailing Address - Phone:215-513-4321
Mailing Address - Fax:
Practice Address - Street 1:2685 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-1075
Practice Address - Country:US
Practice Address - Phone:215-723-2302
Practice Address - Fax:215-723-3144
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040724L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist