Organization Name: | BURNHAM MCKINNEY PHARMACIES INC |
NPI Number: | 1770589095 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A MCKINNEY (OWNER/PRESIDENT) |
Mailing Address: | 5001 Main St Moss Point |
State: | MS US |
Postal Code: | 395632738 |
Phone Number: | 2284753411 |
Fax Number: | 2284759251 |
NPI Enumeration Date: | 06/22/2005 |
NPI Last Update Date: | 06/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | 00774/01.1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |