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Organization

WILKARE PHARMACY LLC

Active
Other names
Malden Pharmacy & Home Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE LINDSEY (PHARMACY MANAGER)
(573) 996-1347
Entity
Organization

Contact information

Practice address
214 W MAIN ST, MALDEN, MO 63863-2114
(573) 276-3784
Mailing address
214 W MAIN ST, MALDEN, MO 63863-2114
(573) 276-3784
(573) 276-2134

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2016027108
MO
3336C0003X
Community/Retail Pharmacy
3336L0003X
Long Term Care Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2163848
PK
Enumeration date
02/26/2013
Last updated
08/31/2017
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