Organization
PREMIERE HEALTHCARE LLC
Active
Other names
Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP K WILKINS SR. PHARM D. (OWNER/PHARMACIST)
(573) 996-3784
Entity
Organization
Contact information
Practice address
513B N GRAND AVE, DONIPHAN, MO 63935-1405
(573) 996-3784
(573) 996-5275
Mailing address
513B N GRAND AVE, DONIPHAN, MO 63935-1405
(573) 996-3784
(573) 996-5275
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2010023102
MO
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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