Organization
BURGESS HEALTH CENTER
Active
Parent organization
BURGESS HEALTH CENTER
Other names
WHITING FAMILY PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
BURGESS HEALTH CENTER
Authorized official
LYNN R WOLD (CEO)
(712) 423-2311
Entity
Organization
Contact information
Practice address
723 WHITTIER ST, WHITING, IA 51063-1035
(712) 458-2500
(712) 458-2963
Mailing address
723 WHITTIER ST, WHITING, IA 51063-1035
(712) 458-2500
(712) 458-2963
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1100
IA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197228
—
IA
01
—
2029899
PK
—
Enumeration date
11/07/2006
Last updated
07/09/2024
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