Organization
MEDKIN PHARMACY LLC
Active
Parent organization
MEDKIN PHARMACY LLC
Other names
Medicine Cabinet Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDKIN PHARMACY LLC
Authorized official
MR. JOHN WAYNE HEWKIN RPH. (MEMBER/OWNER/PHARMACIST)
(573) 308-5033
Entity
Organization
Contact information
Practice address
105 PROGRESS PKWY, SULLIVAN, MO 63080-2359
(573) 860-3600
(573) 860-2636
Mailing address
105 PROGRESS PKWY, MEDICINE CABINET PHARMACY, SULLIVAN, MO 63080-2359
(573) 860-3600
(573) 860-2636
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
5100
MO
3336C0003X
Community/Retail Pharmacy
2003001706
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5100
MO BOARD OF PHARMA
MO
05
—
6060000701
—
MO
05
—
626000707
—
MO
Enumeration date
07/09/2006
Last updated
11/16/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us