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Organization

EDWARD S. WILCOX

Active
Other names
Redstone Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD S WILCOX RPH (OWNER PHARMACIST)
(724) 246-8800
Entity
Organization

Contact information

Practice address
1009 MAIN ST, REPUBLIC, PA 15475
(724) 246-8800
(724) 246-5050
Mailing address
1009 MAIN ST, REPUBLIC, PA 15475
(724) 246-8800
(724) 246-5050

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PP411751L
PA
333600000X
Pharmacy
PP411751L
PA
3336C0003X
Community/Retail Pharmacy
Primary
PP411751L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000563349
PA
Enumeration date
12/22/2006
Last updated
08/25/2010
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