# WILKINSON PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wilkinson Pharmacy \#260
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720195845
- **Authorized official:** MR. MICHAEL W BURNS RPH (PRESIDENT/CEO)
- **Authorized official phone:** (785) 448-3600

## Contact information

- **Practice address:** 200 E HWY 54, EL DORADO SPRINGS, MO 64744
- **Practice address phone:** (417) 876-3511
- **Practice address fax:** (417) 876-5827
- **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 | 5933 | MO | Yes |
| 3336C0003X | Community/Retail Pharmacy | 5933 | MO | — |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 07/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 601830409 | — | MO |