Individual
DR. JUSTIN DEWAYNE WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
(918) 429-0363
Mailing address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
(918) 429-0363
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15234
OK
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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