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Organization

BURRELL PHARMACY, INC

Active
Other names
Pisone's Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDER J MICKLOW R.PH. (SECRETARY)
(724) 478-4061
Entity
Organization

Contact information

Practice address
1908 RIVER RD, NORTH APOLLO, PA 15673
(724) 478-4061
(724) 478-1461
Mailing address
1908 RIVER RD, PO BOX 36, NORTH APOLLO, PA 15673
(724) 478-4061
(724) 478-1461

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PP410511L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019711310002
PA
01
3938086
NCPDP
PA
Enumeration date
10/25/2006
Last updated
08/22/2020
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