# JOHN WIKSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649870148
- **Gender:** Man
- **Credential:** PHARMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 183500000X | Pharmacist | 122425 | MN | — |
| 183500000X | Pharmacist | 2017044638 | MO | Yes |
| 183500000X | Pharmacist | 23217 | IA | — |
| 183500000X | Pharmacist | 5667 | SD | — |

## Other

- **Enumeration date:** 10/26/2020
- **Last updated:** 10/26/2020