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BURTIS DRUG INC. NPI 1700998614


NPI Information

NPI: 1700998614
Provider Name: BURTIS DRUG, INC.

Doing Business As: GIBSON PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
815 N O CONNOR RD
IRVING, TX
ZIP 75061
Phone: (972) 579-0511
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BURTIS DRUG, INC. is a pharmacy in Irving, TX. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. BURTIS DRUG, INC. NPI is 1700998614. The provider is registered as an organization entity type.
The provider Is Doing Business As Gibson Pharmacy.

The provider's business location address is:

815 N O CONNOR RD
IRVING, TX
ZIP 75061-510
Phone: (972) 579-0511
Fax: (972) 579-0512

The provider's authorized official is John Austin Burtis .
The authorized official title is Owner and has the following contact phone number (972) 579-0511.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 6/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacy11854TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14545565OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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