Organization
BURHENNS PHARMACY INC
Active
Other names
BURHENNS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BURHENN R.PH (VICE PRESIDENT)
(814) 824-8224
Entity
Organization
Contact information
Practice address
861 E 38TH ST, ERIE, PA 16504-1768
(814) 824-8224
(814) 824-8229
Mailing address
861 E 38TH ST, ERIE, PA 16504-1768
(814) 824-8224
(814) 824-8229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410299L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0956847
—
PA
01
—
2080030
PK
—
Enumeration date
12/13/2006
Last updated
02/20/2017
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