Organization
BURKLOW PHARMACY INC
Active
Other names
BURKLOW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE BURKLOW RPH (PRESIDENT, PIC)
(850) 293-1011
Entity
Organization
Contact information
Practice address
4880 WOODBINE RD, PACE, FL 32571-8762
(850) 995-9999
(850) 995-0095
Mailing address
4880 WOODBINE RD, PACE, FL 32571-8762
(850) 995-9999
(850) 995-0095
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH15761
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106315400
—
FL
01
—
2010633
PK
—
Enumeration date
06/19/2006
Last updated
03/29/2016
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