Organization
BURNS INC
Active
Other names
Burnsville Discount Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT TERRY DALTON JR. R.PH. (PHARMACIST-IN-CHARGE)
(662) 427-0100
Entity
Organization
Contact information
Practice address
603 HWY 365 SOUTH, BURNSVILLE, MS 38833-9320
(662) 427-0100
(662) 427-0101
Mailing address
PO BOX 315, BURNSVILLE, MS 38833-0315
(662) 427-0100
(662) 427-0101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E-7806
MS
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02759897
—
MS
Enumeration date
03/08/2007
Last updated
12/10/2018
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