Organization
WILKINSON PHARMACY INC
Active
Other names
Wilkinson Pharmacy #260
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
200 E HWY 54, EL DORADO SPRINGS, MO 64744
(417) 876-3511
(417) 876-5827
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
5933
MO
3336C0003X
Community/Retail Pharmacy
5933
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
601830409
—
MO
Enumeration date
08/24/2006
Last updated
07/24/2017
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