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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