Organization
RUSHVILLE PHARMACY, INC.
Active
Organization
RUSHVILLE PHARMACY, INC.
Active
Other names
Rushville Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIPLAND JAY BURKETT (PHARMACIST OWNER)
(765) 932-3328
Entity
Organization
Contact information
Practice address
302 N MAIN ST, RUSHVILLE, IN 46173-1636
(765) 932-3328
(765) 932-3824
Mailing address
302 N MAIN ST, RUSHVILLE, IN 46173-1636
(765) 932-3328
(765) 932-3824
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60001488A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300760
—
IN
01
—
1500481
NCPDP
IN
Enumeration date
08/08/2006
Last updated
02/10/2020
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