Burgland Drug Inc
Organization Active NPI Community/Retail Pharmacy · Galesburg, IL
NPI 1487743167 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1487743167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 054008923 (IL)
- Legal business name
- BURGLAND DRUG INC
- Practice address
- 1440 N Henderson St
Galesburg, IL 61401-1515 - Phone
- (309) 344-2412
- Fax
- (309) 344-7859
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- George Burgland, RPH
- Title
- Owner
- Phone
- (309) 344-2412
Practitioners 1
-
George G. Burgland, R.PH.
National Provider Directory
Locations
1440 N Henderson St
Galesburg, IL 61401
Phone (309) 344-2412
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 054008923 | IL | Yes |
Addresses
Primary practice location
1440 N Henderson St
Galesburg, IL 61401-1515
Mailing address
1440 N Henderson St
Galesburg, IL 61401-1515
Phone (309) 344-2412
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 371199448001 | Medicaid | IL | |
| 1453163 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- BURGLAND DRUG INC
Other providers in Galesburg, IL
- Stacy Brown
- Kari N. Bruening
- Brian Christopher Buelt
- Sarah Bullock
- Ashley Marie Buras
- George G. Burgland
- Jeremiah Francis Bushmaker
- Rhett Bartlett Butler
- Ritchelle Arellano Cabonce
- Cristian Cabrera
All providers in Galesburg, IL · Community/Retail Pharmacy in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.