# RJW INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILCOX LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558477232
- **Authorized official:** RICHARD WILCOX (PRESIDENT)
- **Authorized official phone:** (802) 775-3351

## Contact information

- **Practice address:** 248 STRATTON RD, RUTLAND, VT 05701-4623
- **Practice address phone:** (802) 747-1994
- **Practice address fax:** (802) 747-1996
- **Mailing address:** 248 STRATTON RD, RUTLAND, VT 05701-4623
- **Mailing address phone:** (802) 747-1994
- **Mailing address fax:** (802) 747-1996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 038.0003308 | VT | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 10/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4703674 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |