# BURNHAM-MCKINNEY PHARMACY NO 5 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burnham Drugs \#5
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689979585
- **Authorized official:** JOHN MCKINNEY (OWNER/PHARMACIST)
- **Authorized official phone:** (228) 475-3411

## Contact information

- **Practice address:** 608 HOWARD AVE, BILOXI, MS 39530-4310
- **Practice address phone:** (228) 432-1126
- **Practice address fax:** (228) 432-1132
- **Mailing address:** PO BOX 8647, MOSS POINT, MS 39562-0010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 08795011 | MS | Yes |

## Other

- **Enumeration date:** 01/24/2011
- **Last updated:** 04/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2588272 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
