Individual
DR. KIRK SHAWGO WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHAM. D. , BS
Contact information
Practice address
2727 E BROADWAY RD, MESA, AZ 85204-1530
(480) 464-4742
(480) 644-0964
Mailing address
2727 E BROADWAY RD, MESA, AZ 85204-1530
(480) 464-4742
(480) 644-0964
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S010736
AZ
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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