Organization
AUBURN PHARMACY INC
Active
Other names
Auburn Pharmacy #255
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W BURNS RPH (OWNER/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
54B SE 1ST LN, LAMAR, MO 64759-9226
(417) 682-5838
(417) 682-5811
Mailing address
259 W PARK RD, GARNETT, KS 66032-1080
(785) 448-3600
(785) 448-3206
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2017039555
MO
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170615
PK
—
05
—
601400302
—
MO
Enumeration date
09/19/2006
Last updated
06/04/2020
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