Organization
WILKINSON PHARMACY INC
Active
Other names
Wilkinson Pharmacy 9
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BEISNER (PRESIDENT/COO)
(417) 667-7599
Entity
Organization
Contact information
Practice address
1227 E 32ND ST STE 5, JOPLIN, MO 64804-2904
(417) 623-7907
(417) 782-1020
Mailing address
125 S WASHINGTON ST, SUITE 100, NEVADA, MO 64772-3329
(417) 667-7599
(417) 667-7599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2010018716
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639490055
—
MO
01
—
2639106
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2010
Last updated
04/23/2012
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