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Organization
BURNSVILLE DRUG STORE
Active
Organization
BURNSVILLE DRUG STORE
Active
Other names
Burnsville Drug Store PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL MCQUAIN (PHARMACIST)
(304) 853-2500
Entity
Organization
Contact information
Practice address
110 MUNICIPAL ST, BURNSVILLE, WV 26335
(304) 853-2500
(304) 853-2019
Mailing address
BOX 514, 110 MUNICIPAL ST, BURNSVILLE, WV 26335
(304) 853-2500
(304) 853-2019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6062
WV
333600000X
Pharmacy
Primary
6062
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500041000
—
WV
Enumeration date
01/18/2007
Last updated
09/11/2014
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