Organization
BURRELL PHARMACY, INC
Active
Other names
Burrell HealthMart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER J MICKLOW R.PH. (SECRETARY)
(724) 334-1067
Entity
Organization
Contact information
Practice address
2889 LEECHBURG RD, LOWER BURRELL, PA 15068-2542
(724) 334-1067
(724) 334-9681
Mailing address
2889 LEECHBURG RD, LOWER BURRELL, PA 15068-2542
(724) 334-1067
(724) 334-9681
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP481288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019711310001
—
PA
01
—
3982483
NCPDP
PA
Enumeration date
10/21/2006
Last updated
03/09/2010
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