Organization
BURRELL, INC.
Active
Other names
Burrell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES TREBILCOCK BS.PHARM (VICE PRESIDENT, PHARMACY)
(417) 761-5152
Entity
Organization
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5150
(417) 761-5151
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5150
(417) 761-5151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2006010535
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2049194
PK
—
05
—
606258903
—
MO
Enumeration date
04/20/2006
Last updated
01/06/2022
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