Organization
BURKE COMMUNITY PHARMACY INC.
Active
Other names
Mission Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SUTTON RPH (PHARMACIST IN CHARGE)
(605) 775-2294
Entity
Organization
Contact information
Practice address
161 S. MAIN STREET, MISSION, SD 57555
(605) 856-2120
Mailing address
161 S MAIN STREET, PO BOX 515, MISSION, SD 57555
(605) 856-2120
(605) 856-2149
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
100-1955
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130260
PK
—
05
—
8504680
—
SD
Enumeration date
02/05/2010
Last updated
03/31/2016
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