NPI | 1083745541 |
---|---|
Doing Business As | BURNSVILLE DISCOUNT DRUGS |
Entity Type | Organization |
Authorized Contact | ROBERT TERRY DALTON Pharmacist In Charge 662-427-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-7806) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2018-12-10 |