Organization
WILLIAM BURKE LTD
Active
Other names
MAIN HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW PLOEHN (OWNER)
(563) 324-5004
Entity
Organization
Contact information
Practice address
655 LIBERTY WAY STE 3AND4, NORTH LIBERTY, IA 52317-9154
(319) 665-2855
Mailing address
2151 KIMBERLY RD, BETTENDORF, IA 52722-3628
(563) 324-5004
(563) 324-3305
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
1367
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623746
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/14/2009
Last updated
02/23/2024
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