Organization
BURNHAM MCKINNEY PHARMACIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN A MCKINNEY RPH (OWNER/PRESIDENT)
(228) 475-3411
Entity
Organization
Contact information
Practice address
5001 MAIN ST, MOSS POINT, MS 39563-2738
(228) 475-3411
(228) 475-9251
Mailing address
PO BOX 8647, MOSS POINT, MS 39562-0010
(228) 475-3411
(228) 475-9251
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
00774/01.1
MS
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00774/01.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
00774/01.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
00774/01.1
MS
333600000X
Pharmacy
00774/01.1
MS
3336C0003X
Community/Retail Pharmacy
00774011
MS
3336C0004X
Compounding Pharmacy
00774011
MS
3336H0001X
Home Infusion Therapy Pharmacy
00774011
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440057
—
MS
05
—
100340002
—
AL
Enumeration date
06/22/2005
Last updated
06/24/2008
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