Organization
WILCOX PHARMACY INC
Active
Other names
WILCOX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHAN WILCOX RPH (PRESIDENT)
(517) 646-9274
Entity
Organization
Contact information
Practice address
140 EAST RD, DIMONDALE, MI 48821-8705
(517) 646-9274
(517) 646-9278
Mailing address
140 EAST RD, DIMONDALE, MI 48821-8705
(517) 646-9274
(517) 646-9278
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
5301007627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2043971
PK
—
05
—
4503680
—
MI
Enumeration date
12/12/2006
Last updated
09/30/2014
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