| NPI | 1871504449 |
|---|---|
| Doing Business As | BURGIE DRUG STORE |
| Entity Type | Organization |
| Authorized Contact | LARRY PROFFITT Owner 423-542-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TN 348) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2019-08-16 |