Organization
BURLE DRUGS LLC
Active
Other names
Gower drug store
Organization subpart
No
Provider details
NPI number
Authorized official
SURESH BURLE (OWNER)
(270) 755-4831
Entity
Organization
Contact information
Practice address
328 N MAIN ST, LEWISBURG, KY 42256-9213
(270) 755-4831
(270) 755-4850
Mailing address
328 N MAIN ST, P.O.BOX 300, LEWISBURG, KY 42256-9213
(270) 755-4831
(270) 755-4850
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128508
PK
—
05
—
7100152100
—
KY
Enumeration date
07/14/2006
Last updated
12/12/2013
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