Burrell Pharmacy

LBN: Burrell, Inc.
Burrell Pharmacy is an health care organization with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Burrell, Inc. can be contacted via phone (417) 761-5150, or through Trebilcock, Charles via phone (417) 761-5152.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Fax: (417) 761-5151
Website:
Authorized official contact:
Name: Trebilcock, Charles BS.PHARM

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2006010535 Missouri

Profile Details

NPI number 1881659894
LBN Legal business name Burrell, Inc.
DBA Doing business as Burrell Pharmacy
Authorized official Trebilcock, Charles BS.PHARM
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2006
Last updated Jan 6th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881659894 NPPES
Other 2049194 PK
MEDICAID 606258903 PK

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