Organization
BURNSVILLE DRUG STORE
Active
Other names
Burnsville Drug Store PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL MCQUAIN (PHARMACIST)
(304) 853-2500
Entity
Organization
Contact information
Practice address
110 MUNICIPAL ST, BURNSVILLE, WV 26335
(304) 853-2500
(304) 853-2019
Mailing address
BOX 514, 110 MUNICIPAL ST, BURNSVILLE, WV 26335
(304) 853-2500
(304) 853-2019
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
6062
WV
333600000X
Pharmacy
Primary
6062
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8500041000
—
WV
Enumeration date
01/18/2007
Last updated
09/11/2014
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