Individual
MELISSA NICOLE WICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
313 PARTRIDGE RUN RD, YUKON, OK 73099-9511
(806) 584-9114
Mailing address
313 PARTRIDGE RUN RD, YUKON, OK 73099-9511
(806) 584-9114
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15165
OK
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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