Organization
S & W HEALTHCARE
Active
Other names
Myers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WILKINS (MANAGER/MEMBER)
(573) 996-3784
Entity
Organization
Contact information
Practice address
603 N HWY 160, ALTON, MO 65606
(417) 778-7727
(417) 778-6820
Mailing address
PO BOX 441, DONIPHAN, MO 63935-0441
(573) 996-3784
(573) 996-1872
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2012025843
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136657
PK
—
Enumeration date
08/28/2012
Last updated
01/21/2015
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