Organization
AUBURN PHARMACY INC
Active
Other names
AuBurn Pharmacy #245, Wilkinson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W BURNS RPH. (OWNER/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
105 S OAK, NEVADA, MO 64772
(417) 667-7802
(417) 667-7803
Mailing address
259 W PARK RD, GARNETT, KS 66032-1080
(854) 483-6007
(785) 448-3206
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
2944
MO
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600589006
—
MO
Enumeration date
09/19/2006
Last updated
06/12/2020
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