Organization
BURDEN DRUG CENTER INC
Active
Other names
BURDEN DRUG CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CONATSER DPH (OWNER)
(931) 879-8312
Entity
Organization
Contact information
Practice address
418 A W CENTRAL AVE, JAMESTOWN, TN 38556
(931) 879-8312
(931) 879-3866
Mailing address
PO BOX 700, JAMESTOWN, TN 38556-0700
(931) 879-8312
(931) 879-3866
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000002067
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3559417
—
TN
01
—
4425408
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/14/2006
Last updated
04/24/2012
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