Organization
MCKONE-BURKS INC
Active
Organization
MCKONE-BURKS INC
Active
Other names
Medicap Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCKONE-BURKS RPH (OWNER PHARMACIST)
(563) 382-8765
Entity
Organization
Contact information
Practice address
702 MONTGOMERY ST, DECORAH, IA 52101-2317
(563) 382-8765
(563) 382-1329
Mailing address
702 MONTGOMERY ST, DECORAH, IA 52101-2317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
795
IA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179283
—
IA
01
—
1613098
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
03/07/2023
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