| NPI | 1275224412 |
|---|---|
| Doing Business As | BURRELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARK CONOVER Chief Revenue Officer 573-603-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |