Organization
BURKE COMMUNITY PHARMACY INC
Active
Other names
White River Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE SUTTON (PHARMACIST IN CHARGE)
(605) 775-2294
Entity
Organization
Contact information
Practice address
309 EAST 4TH ST., WHITE RIVER, SD 57579
(605) 259-3102
(605) 259-3562
Mailing address
309 EAST 4TH ST., WHITE RIVER, SD 57579
(605) 259-3102
(605) 259-3562
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
100-2052
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2176201
PK
—
Enumeration date
08/30/2006
Last updated
05/02/2018
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