| NPI | 1952059982 |
|---|---|
| Doing Business As | BURKE'S MAIN ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY STEVEN BURKE President 843-681-2622 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-18 |