Bourbon Drugs INC

NPI #1649391020 in Bourbon, Missouri

Provider Information

NPI Number
1649391020
Entity Type
Organization
Organization Name
Bourbon Drugs INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Apr 3, 2007
Last Updated
Oct 10, 2011

Practice Location

Address
386 E PINE ST
ZIP Code
65441-7506
Phone
(573) 732-4921

Authorized Official

Name
THOMAS BURNETT, RPH
Title
PIC
Phone
(573) 732-4921

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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