| NPI | 1619269016 |
|---|---|
| Former Legal Business Name | BURKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VAN TRUMAN CLONTZ Owner/Manager 828-437-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |