Organization
BURGIE DRUG STORE LLC
Active
Organization
BURGIE DRUG STORE LLC
Active
Other names
BURGIE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WILKINS (OWNER)
(423) 542-4622
Entity
Organization
Contact information
Practice address
1000 W G ST, ELIZABETHTON, TN 37643-2959
(423) 542-4622
(423) 542-2564
Mailing address
1000 W G ST, ELIZABETHTON, TN 37643-2959
(423) 542-4622
(423) 542-2564
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094801
PK
—
Enumeration date
08/10/2006
Last updated
08/17/2026
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