Wisdom Drug Llc
Community/Retail Pharmacy
117 W 4th St, Salem
Missouri, 65560-1255
573-729-4114 573-729-5353
Wisdom Drug Llc is a Community/Retail Pharmacy in Salem, Missouri. It is located at 117 W 4th St, Salem and it's customer support contact number is 573-729-4114. The authorized person of Wisdom Drug Llc is Teel Ryan Wisdom who is Owner/pharmacist In Charge of the pharmacy and his contact number is 573-729-4114. Active license number of Wisdom Drug Llc is PS 004855 for Community/Retail Pharmacy in Missouri. Wisdom Drug Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wisdom Drug Llc is 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.
Pharmacy Details:
Wisdom Drug Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Wisdom Drug Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 117 W 4th St, Salem,
Missouri, 65560-1255 |
| Phone: | 573-729-4114 |
| Fax: | 573-729-5353 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Teel Ryan Wisdom |
| Position: | Owner/pharmacist In Charge |
| Contact Number: | 573-729-4114 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1225072093 |
| NPI Enumeration Date: | 15 Jun, 2006 |
| NPI Last Update On: | 14 Feb, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wisdom Drug Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PS 004855 | Missouri | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 600126916 | Medicaid | Missouri | |
Medicare Enrollment:
Wisdom Drug Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648391367 | O20100930040772 | Vandivort Drug | DME SUPPLIER - PHARMACY |
Products Available:
Wisdom Drug Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 117 W 4th St,
Salem, Missouri |
| Zip: | 65560-1255 |
| Phone Number: | 573-729-4114 |
| Fax Number: | 573-729-5353 |
Patients can reach Wisdom Drug Llc at
117 W 4th St, Salem, Missouri or can
call on customer care at 573-729-4114.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.