| NPI | 1245062405 |
|---|---|
| Other Name | BURNHAM DRUGS NO. 4 MOT |
| Entity Type | Organization |
| Authorized Contact | SANDY L LUCAS Manager 228-475-3411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-08-16 |
| Last Update Date | 2024-08-16 |