Organization
ANDERSON BURRIS INC
Active
Other names
Hope Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LESTER BURRIS (PRESIDENT)
(812) 546-2502
Entity
Organization
Contact information
Practice address
645 HARRISON ST, HOPE, IN 47246-1203
(812) 287-8884
(812) 287-8921
Mailing address
PO BOX 366, BEDFORD, IN 47421-0366
(812) 546-2502
(812) 546-2336
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006601A
IN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167643
PK
—
05
—
300002470A
—
IN
Enumeration date
02/03/2017
Last updated
09/29/2020
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