Individual
MRS. PHYLLIS CLELAND WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PD
Contact information
Practice address
1350 W 6TH ST, WALDRON, AR 72958-2600
(479) 637-1007
(479) 637-1009
Mailing address
2769 W HIGHWAY 28, WALDRON, AR 72958-7318
(479) 207-3312
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06835
AR
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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