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Contact Information

WILKINSON PHARMACY INC
143 W ELM
LEBANON, MO65536
 Phone: 417-532-4431
 Fax: 417-533-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WILKINSON PHARMACY INC

NPI Number 1720185333
LBN Legal business name WILKINSON PHARMACY INC
Authorized official MICHAEL BURNS - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2006
Last updated 07/26/2017 - About 9 years ago
Identifiers
MO License # 6374
MO Medicaid 600123004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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