Provider Demographics
NPI:1952847246
Name:WILKARE PHARMACY LLC
Entity Type:Organization
Organization Name:WILKARE PHARMACY LLC
Other - Org Name:MALDEN PHARMACY & HOME MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:WILKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:573-276-3784
Mailing Address - Street 1:214 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MO
Mailing Address - Zip Code:63863-2114
Mailing Address - Country:US
Mailing Address - Phone:573-276-3784
Mailing Address - Fax:573-276-2134
Practice Address - Street 1:214 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MO
Practice Address - Zip Code:63863-2114
Practice Address - Country:US
Practice Address - Phone:573-276-3784
Practice Address - Fax:573-276-2134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy