Organization
WILKARE PHARMACY OF DONIPHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP WILKINS JR. (MANAGING MEMBER)
(870) 351-0846
Entity
Organization
Contact information
Practice address
513 N GRAND AVE, DONIPHAN, MO 63935-1405
(573) 996-4127
(573) 996-5973
Mailing address
513 N GRAND AVE, DONIPHAN, MO 63935-1405
(870) 351-0846
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
11/27/2023
Last updated
04/11/2024
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