MEDICARE: BURRELL J. ALBEE R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	8451	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275612533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BURRELL J. ALBEE R.PH.

Provider Business Mailing Address
First Line	:	908 N HOWARD AVE
Second Line	:	SUITE 108
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-3556
Country	:	US
Telephone Number	:	308-381-2225
Fax Number	:	308-381-0793

Provider Business Practice Location Address
First Line	:	908 N HOWARD AVE
Second Line	:	SUITE 108
City	:	GRAND ISLAND
State	:	NE
Zip	:	68803-3556
Country	:	US
Telephone Number	:	308-381-2225
Fax Number	:	308-381-0793

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	07/08/2007

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