Organization
RJW INC
Active
Other names
WILCOX LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILCOX (PRESIDENT)
(802) 775-3351
Entity
Organization
Contact information
Practice address
248 STRATTON RD, RUTLAND, VT 05701-4623
(802) 747-1994
(802) 747-1996
Mailing address
248 STRATTON RD, RUTLAND, VT 05701-4623
(802) 747-1994
(802) 747-1996
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
038.0003308
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703674
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/22/2006
Last updated
10/14/2010
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