Organization
BURKE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAN T CLONTZ TECH/DME (OWNER/)
(828) 437-8025
Entity
Organization
Contact information
Practice address
301 W MEETING ST, MORGANTON, NC 28655-3866
(828) 437-8025
(828) 438-8755
Mailing address
301 W MEETING ST, MORGANTON, NC 28655-3866
(828) 437-8025
(828) 438-8755
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5037
NC
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7700344
—
NC
Enumeration date
04/11/2006
Last updated
01/27/2015
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