# WILKARE PHARMACY OF DONIPHAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811763378
- **Authorized official:** DR. PHILLIP WILKINS JR. (MANAGING MEMBER)
- **Authorized official phone:** (870) 351-0846

## Contact information

- **Practice address:** 513 N GRAND AVE, DONIPHAN, MO 63935-1405
- **Practice address phone:** (573) 996-4127
- **Practice address fax:** (573) 996-5973
- **Mailing address:** 513 N GRAND AVE, DONIPHAN, MO 63935-1405
- **Mailing address phone:** (870) 351-0846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 04/11/2024