# WILLIAM BURKE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAIN HEALTHCARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518296920
- **Authorized official:** ANDREW PLOEHN (OWNER)
- **Authorized official phone:** (563) 324-5004

## Contact information

- **Practice address:** 655 LIBERTY WAY STE 3AND4, NORTH LIBERTY, IA 52317-9154
- **Practice address phone:** (319) 665-2855
- **Mailing address:** 2151 KIMBERLY RD, BETTENDORF, IA 52722-3628
- **Mailing address phone:** (563) 324-5004
- **Mailing address fax:** (563) 324-3305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 1367 | IA | Yes |

## Other

- **Enumeration date:** 12/14/2009
- **Last updated:** 02/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1623746 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |