Organization
BURNHAM-MCKINNEY PHARMACY NO 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A. MCKINNEY R.PH. (OWNER)
(228) 826-4747
Entity
Organization
Contact information
Practice address
12500 HIGHWAY 57, VANCLEAVE, MS 39565-9614
(228) 826-4747
(228) 826-2156
Mailing address
12500 HIGHWAY 57, VANCLEAVE, MS 39565-9614
(228) 826-4747
(228) 826-2156
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0330586
—
MS
Enumeration date
10/18/2006
Last updated
08/26/2024
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