Organization
BURNHAM-MCKINNEY PHARMACY NO 5 LLC
Active
Other names
Burnham Drugs #5
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCKINNEY (OWNER/PHARMACIST)
(228) 475-3411
Entity
Organization
Contact information
Practice address
608 HOWARD AVE, BILOXI, MS 39530-4310
(228) 432-1126
(228) 432-1132
Mailing address
PO BOX 8647, MOSS POINT, MS 39562-0010
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
08795011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2588272
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/24/2011
Last updated
04/05/2011
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