Organization
WILKINSON PHARMACY, INC
Active
Parent organization
WILKINSON PHARMACY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILKINSON PHARMACY, INC
Authorized official
MR. MICHAEL W. BURNS RPH (OWNER/CEO/PRESIDENT)
(785) 448-3600
Entity
Organization
Contact information
Practice address
113 E US HIGHWAY 54 STE 2, CAMDENTON, MO 65020-7320
(573) 346-3396
(573) 346-5257
Mailing address
125 S WASHINGTON, SUITE 300, NEVADA, MO 64772-3329
(417) 667-7599
(417) 667-7599
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588836415
—
MO
05
—
620659706
—
MO
Enumeration date
04/01/2008
Last updated
02/14/2018
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