Organization Name: | JONK LLC |
NPI Number: | 1386625788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KYLE YORK (PHARMACIST - MANAGER) |
Mailing Address: | 104 W Mcclurg St Richland |
State: | MO US |
Postal Code: | 65556 |
Phone Number: | 5737653321 |
Fax Number: | 5737655200 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |