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Organization
BURKE COMMUNITY PHARMACY
Active
Organization
BURKE COMMUNITY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE C SUTTON (PHARMACIST)
(605) 775-2294
Entity
Organization
Contact information
Practice address
814 JACKSON STREET, BURKE, SD 57523
(605) 775-2294
(605) 775-2564
Mailing address
814 JACKSON STREET, PO BOX 358, BURKE, SD 57523
(605) 775-2294
(605) 775-2564
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
100-1866
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4304488
NABP
SD
05
—
460219795-50
—
NE
05
—
8504200
—
SD
Enumeration date
12/11/2006
Last updated
08/20/2010
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