Organization
WILKINSON PHARMACY, INC
Active
Parent organization
WILKINSON PHARMACY, INC
Other names
Wilkinson Homecare Equipment
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
105 S OAK, NEVADA, MO 64772-3436
(417) 667-3214
(417) 667-4700
Mailing address
125 S WASHINGTON, SUITE 300, NEVADA, MO 64772-3329
(417) 667-7599
(417) 667-7599
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
2944
MO
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620589002
—
MO
Enumeration date
04/21/2006
Last updated
08/21/2017
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