Organization
S&W HEALTHCARE
Active
Other names
Myers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP KEITH WILKINS SR. PHARMD (OWNER/PHARMACIST)
(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
(417) 778-7727
(417) 778-6820
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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