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General NPI Number Information
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NPI Number | 1467361873
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Entity Type | Organization
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Legal Business Name | BURRELL, INC.
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 17844 E 23RD ST S UNIT C
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City | INDEPENDENCE
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State | MO
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Zip | 64057-1840
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Country | US
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Telephone | 816-836-6301
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Fax | 816-836-6308
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Provider Business Mailing Address
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Address Line | 1300 E BRADFORD PKWY
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City | SPRINGFIELD
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State | MO
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Zip | 65804-4264
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Country | US
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Telephone | 417-761-5000
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Fax | 417-761-5011
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Authorized Official
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Title or Position | VICE PRESIDENT, PHARMACY
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Name | CHARLES TREBILCOCK
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Credential | PHARM
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Telephone | 417-761-5152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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