Organization
BURGESS DRUG STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME PAUL BALL PHARMD (SECRETARY)
(606) 376-5043
Entity
Organization
Contact information
Practice address
19 MEDICAL LOOP STE 2, WHITLEY CITY, KY 42653-4329
(606) 376-5043
Mailing address
PO BOX 309, WHITLEY CITY, KY 42653-0309
(606) 376-5043
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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