Organization
BURRELL, INC.
Active
Other names
Transitions Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TREBILCOCK BS.PHARM (VICE PRESIDENT, PHARMACY)
(417) 761-5152
Entity
Organization
Contact information
Practice address
323 E GRAND ST, SPRINGFIELD, MO 65807-1447
(417) 761-6350
(417) 761-6351
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2015033193
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2015033193
MISSOURI STATE LICENSE NUMBER
MO
05
—
600027953
—
MO
Enumeration date
12/03/2015
Last updated
01/06/2022
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