Organization
WILKINSON PHARMACY INC
Active
Other names
Wilkinson Pharmacy #285
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL W BURNS RPH (PRESIDENT/CEO)
(785) 448-3600
Entity
Organization
Contact information
Practice address
143 W ELM, LEBANON, MO 65536
(417) 532-4431
(417) 533-1291
Mailing address
125 S WASHINGTON, STE 100, NEVADA, MO 64772
(417) 667-7599
(417) 667-7599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
6374
MO
3336C0003X
Community/Retail Pharmacy
6374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600123004
—
MO
Enumeration date
09/19/2006
Last updated
07/26/2017
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