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WILLIAM BURKE LTD NPI 1851620066


NPI Information

NPI: 1851620066
Provider Name: WILLIAM BURKE LTD

Doing Business As: MAIN AT LOCUST PHARMACY AND CLINIC

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
129 W LOCUST ST
DAVENPORT, IA
ZIP 52803
Phone: (563) 324-5004
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WILLIAM BURKE LTD is a clinic pharmacy pharmacy in Davenport, IA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WILLIAM BURKE LTD NPI is 1851620066. The provider is registered as an organization entity type.
The provider Is Doing Business As Main At Locust Pharmacy And Clinic.

The provider's business location address is:

129 W LOCUST ST
DAVENPORT, IA
ZIP 52803-803
Phone: (563) 324-5004
Fax: (563) 324-3305

The provider's authorized official is Lesley Ann Tooley .
The authorized official title is Billing Supervisor and has the following contact phone number (563) 324-5004.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 5/24/2010.


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
13336C0002XPharmacyClinic Pharmacy16D0922143IOWAYes

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
1IB1663MEDICARE PINIOWA

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: 11/14/2023

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