Whalio Doctors

NPI 1003849316

Medkin Pharmacy LLC

Organisation Pharmacy Sullivan, MO

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
Suppliers Taxonomy 333600000X Licence 5100 (MO)
Community/Retail Pharmacy
Suppliers Taxonomy 3336C0003X Licence 2003001706 (MO)

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.