Organization
BURNS INC
Active
Other names
Tupelo Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI DRISKILL RPH (MANAGER)
(662) 844-7860
Entity
Organization
Contact information
Practice address
1244 E MAIN ST, TUPELO, MS 38804-2952
(662) 844-7811
(662) 844-7876
Mailing address
1244 E MAIN ST, TUPELO, MS 38804-2952
(662) 844-7811
(662) 844-7876
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
13029/1.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05875871
—
MS
01
—
2141287
PK
—
Enumeration date
09/12/2012
Last updated
12/10/2018
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