Organization
BURWELL PHARMACY LLC
Active
Organization
BURWELL PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD SNYDER BS (PIC)
(308) 346-4747
Entity
Organization
Contact information
Practice address
137 GRAND AVE, BURWELL, NE 68823-4153
(308) 346-4747
(308) 346-4869
Mailing address
PO BOX 520, BURWELL, NE 68823
(308) 346-4747
(308) 346-4869
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
863
NE
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2053182
PK
—
Enumeration date
12/23/2006
Last updated
06/30/2017
Update your record
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