BURTIS DRUG, INC.
Pharmacy at O Connor Rd, Irving, TX

License number
Texas 11854
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. JOHN AUSTIN BURTIS SR. PHA
Title: OWNER
Phone: (972) 579-0511
Address
Address
815 N O Connor Rd, Irving, TX 75061
National Provider ID: 1700998614
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BURTIS DRUG, INC

Irving, TX

Status:
Inactive
Doing business as:
Burtis Drug Inc. DBA Gibson Pharmacy<br>Burtis Drug, Inc
Registration:
Oct 19, 1973
Addresses:
2704 Twinpost Ct, Irving, TX 75062 (Mailing)
815 N O'connor Rd, Irving, TX 75061
State ID:
0033247700
Business type:
Domestic For-Profit Corporation
Treasurer, Secretarys:
John A Burtis Jr Sr (PRESIDENT), 815 N Oconnor, Irving, TX 75061,John Austin Burtis President, Director, inactive,Pam Powell Burtis Treasurer, Secretary, inactive
Agent:
John Austin Burtis Sr,815 N O'connor, Irving, TX 75061 (Physical)
TIN:
17514307796

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