Individual
JAMES WICOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2826 PRAIRIE ST, EMPORIA, KS 66801-5922
(620) 412-4850
Mailing address
2826 PRAIRIE ST, EMPORIA, KS 66801-5922
(620) 412-4850
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
040375
MO
183500000X
Pharmacist
051.028636
IL
183500000X
Pharmacist
Primary
1-11147
KS
Other
Enumeration date
05/07/2007
Last updated
05/22/2014
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