Organization Name: | MEDKIN PHARMACY LLC |
NPI Number: | 1003849316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN WAYNE HEWKIN (MEMBER/OWNER/PHARMACIST) |
Mailing Address: | 105 Progress Pkwy Sullivan |
State: | MO US |
Postal Code: | 630802359 |
Phone Number: | 5738603600 |
Fax Number: | 5738602636 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 11/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0003X |
License Number: | 2003001706 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Community/Retail Pharmacy |
Taxonomy Definition: | A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |