# JO NELL WILKINSON & WILLIAM JACK WILKINSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KERMIT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275540304
- **Authorized official:** MRS. JO NELL WILKINSON RPH (OWNER/PHARMACIST)
- **Authorized official phone:** (325) 396-4630

## Contact information

- **Practice address:** 810 MYER LN, KERMIT, TX 79745-4634
- **Practice address phone:** (432) 586-2556
- **Practice address fax:** (432) 586-5934
- **Mailing address:** PO BOX 947, MENARD, TX 76859-0947
- **Mailing address phone:** (325) 396-4630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 15496 | TX | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 15496 | TX | — |
| 3336C0003X | Community/Retail Pharmacy | 25598 | TX | — |
| 3336L0003X | Long Term Care Pharmacy | 15496 | TX | — |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 09/29/2008