Organization
BURNHAM DRUGS NO. 4 LLC
Active
Parent organization
BURNHAM DRUGS NO. 4 MOT
Other names
Burnham Drugs No. 4 MOT
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURNHAM DRUGS NO. 4 MOT
Authorized official
SANDY L LUCAS (MANAGER)
(228) 475-3411
Entity
Organization
Contact information
Practice address
12500 HIGHWAY 57, VANCLEAVE, MS 39565-9614
(228) 826-2156
(228) 826-2156
Mailing address
PO BOX 8647, MOSS POINT, MS 39562-0010
(228) 475-3411
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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