Individual
ALEXANDER THEODORE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 STURDY RD, VALPARAISO, IN 46383-4126
(219) 465-9505
Mailing address
1001 STURDY RD, VALPARAISO, IN 46383-4126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029712A
IN
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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