Organization
EAST BURKE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOYLE (OPERATIONS MANAGER)
(828) 397-3420
Entity
Organization
Contact information
Practice address
300 MAIN AVE WEST, HILDEBRAN, NC 28637-0664
(828) 397-3420
(828) 397-3420
Mailing address
PO BOX 664, HILDEBRAN, NC 28637-0664
(828) 397-3420
(828) 397-3477
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125542
—
NC
01
—
4191560002
MEDICARE PTAN
—
Enumeration date
02/17/2011
Last updated
02/17/2011
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