Organization
JONK LLC
Active
Other names
York & Co. Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE YORK PHARM D (PHARMACIST - MANAGER)
(573) 765-3321
Entity
Organization
Contact information
Practice address
609 W WASHINGTON AVE, RICHLAND, MO 65556
(573) 765-3321
(573) 765-5200
Mailing address
PO BOX 10, RICHLAND, MO 65556-0010
(573) 765-3321
(573) 765-5200
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2015041135
MO
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386625788
—
MO
01
—
2155522
PK
—
Enumeration date
11/11/2005
Last updated
06/25/2018
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