Organization
WILLIAM BURKE LTD
Active
Other names
MAIN COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PLOEHN (OWNER)
(563) 324-5004
Entity
Organization
Contact information
Practice address
129 W LOCUST ST, DAVENPORT, IA 52803
(563) 324-1641
(563) 884-4480
Mailing address
2151 KIMBERLY RD, BETTENDORF, IA 52722-3628
(563) 324-1641
(563) 884-4480
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
1325
IA
Other
Enumeration date
09/04/2007
Last updated
02/23/2024
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