Organization
BURGLAND DRUG INC
Active
Other names
BURGLAND DRUG INC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BURGLAND RPH (OWNER)
(309) 344-2412
Entity
Organization
Contact information
Practice address
1440 N HENDERSON ST, GALESBURG, IL 61401-1515
(309) 344-2412
(309) 344-7859
Mailing address
1440 N HENDERSON ST, GALESBURG, IL 61401-1515
(309) 344-2412
(309) 344-7859
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054008923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1453163
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
371199448001
—
IL
Enumeration date
10/12/2006
Last updated
01/29/2013
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