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Organization
BURKE COMMUNITY PHARMACY INC.
Active
Organization
BURKE COMMUNITY PHARMACY INC.
Active
Other names
Mission Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SUTTON RPH (PHARMACIST IN CHARGE)
(605) 775-2294
Entity
Organization
Contact information
Practice address
161 S. MAIN STREET, MISSION, SD 57555
(605) 856-2120
Mailing address
161 S MAIN STREET, PO BOX 515, MISSION, SD 57555
(605) 856-2120
(605) 856-2149
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100-1955
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130260
PK
—
05
—
8504680
—
SD
Enumeration date
02/05/2010
Last updated
03/31/2016
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