| NPI | 1003819673 |
|---|---|
| Doing Business As | BURKE'S NEW RIVERSIDE PHARMACY |
| Doing Business As | BURKE'S MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM DOUGLASS President 843-681-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: SC 50002240) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50002240) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: SC 50002240) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-10-15 |