Organization
BURGESS DRUG STORE INC
Active
Parent organization
BURGESS DRUG STORE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURGESS DRUG STORE INC
Authorized official
PAT WATSON (OFFICE ASSISTANT)
(606) 376-5043
Entity
Organization
Contact information
Practice address
2157 S. HWY 27, STE # 2, STEARNS, KY 42647
(606) 376-9662
(606) 376-9658
Mailing address
PO BOX 279, WHITLEY CITY, KY 42653
(606) 376-9662
(606) 376-9658
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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