# WILKINSON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilkinson Pharmacy \#285
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720185333
- **Authorized official:** MR. MICHAEL W BURNS RPH (PRESIDENT/CEO)
- **Authorized official phone:** (785) 448-3600

## Contact information

- **Practice address:** 143 W ELM, LEBANON, MO 65536
- **Practice address phone:** (417) 532-4431
- **Practice address fax:** (417) 533-1291
- **Mailing address:** 125 S WASHINGTON, STE 100, NEVADA, MO 64772
- **Mailing address phone:** (417) 667-7599
- **Mailing address fax:** (417) 667-7599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 6374 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | 6374 | MO | — |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 07/26/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 600123004 | — | MO |