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Organization
BURKE COMMUNITY PHARMACY INC
Active
Organization
BURKE COMMUNITY PHARMACY INC
Active
Other names
White River Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SUTTON (PHARMACIST IN CHARGE)
(605) 775-2294
Entity
Organization
Contact information
Practice address
309 EAST 4TH ST., WHITE RIVER, SD 57579
(605) 259-3102
(605) 259-3562
Mailing address
309 EAST 4TH ST., WHITE RIVER, SD 57579
(605) 259-3102
(605) 259-3562
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
100-2052
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176201
PK
—
Enumeration date
08/30/2006
Last updated
05/02/2018
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