Organization
BURNHAM-MCKINNEY PHARMACY NO 6 LLC
Active
Other names
Burnham Drugs #6
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCKINNEY (OWNER)
(228) 475-3411
Entity
Organization
Contact information
Practice address
12114 OLD HWY 63 S, LUCEDALE, MS 39452-6626
(228) 475-3411
(228) 471-1400
Mailing address
PO BOX 8647, MOSS POINT, MS 39562-0010
(228) 475-3411
(228) 471-1400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1217911
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139497
PK
—
Enumeration date
03/21/2013
Last updated
06/18/2013
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