NPI 1003849316
Medkin Pharmacy LLC
Practice location
- Address
- 105 Progress Pkwy, Sullivan, MO 63080-2359
- Phone
- (573) 860-3600
- Fax
- (573) 860-2636
- Mailing address
- 105 Progress Pkwy Medicine Cabinet Pharmacy, Sullivan, MO 63080-2359
Authorised official
- Name
- John Wayne Hewkin
- Title
- Member/Owner/Pharmacist
- Phone
- (573) 308-5033
Registered specialties (2)
Pharmacy
Primary
Community/Retail Pharmacy
Registry record
- NPI
- 1003849316
- Entity type
- Organization
- NPI issued
- 9 Jul 2006
- Record last updated
- 16 Nov 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.