Organization
DAVE'S DRUG PARTNERSHIP
Active
Other names
dave's home oxygen
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MICHAEL BURKE RPH (PARTNER PHARMACIST IN CHARGE)
(307) 322-3425
Entity
Organization
Contact information
Practice address
1452 JOHNSTON ST, WHEATLAND, WY 82201-3232
(307) 322-3425
(307) 322-3719
Mailing address
1452 JOHNSTON ST, WHEATLAND, WY 82201-3232
(307) 322-3425
(307) 322-3719
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
R10004
WY
333600000X
Pharmacy
R10004
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066200-01
—
WY
Enumeration date
05/10/2007
Last updated
01/24/2012
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