Burgie Drug Store
LBN: Burgie Drug Store Llc
Burgie Drug Store is an health care organization with primary practice located at 1000 W G St , Elizabethton TN 37643-2959. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Burgie Drug Store Llc can be contacted via phone (423) 542-4622, or through Proffitt, Larry via phone (423) 542-4622.
Contact Information
Primary practice address
1000 W G St
Elizabethton TN 37643-2959
Phone: (423) 542-4622
Fax: (423) 542-2564
Website:
Authorized official contact:
Name: Proffitt, Larry Doctor of Public Health (DPH)
Phone: (423) 542-4622
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 348 | Tennessee |
Profile Details
| NPI number | 1871504449 |
|---|---|
| LBN Legal business name | Burgie Drug Store Llc |
| DBA Doing business as | Burgie Drug Store |
| Authorized official | Proffitt, Larry Doctor of Public Health (DPH) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Aug 16th, 2019 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871504449 | NPPES |
| Other | 2094801 | PK |
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