Organization
BURTON PHARMACY INC
Active
Other names
BURTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ROSSOW (PRESIDENT)
(810) 210-1291
Entity
Organization
Contact information
Practice address
3375 S SAGINAW ST, BURTON, MI 48529
(810) 742-9005
(810) 742-9007
Mailing address
3375 S SAGINAW ST, BURTON, MI 48529
(810) 742-9005
(810) 742-9007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373380
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/20/2009
Last updated
01/08/2010
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