Individual
DR. BRIGHAM WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
590 E 17TH ST, IDAHO FALLS, ID 83404-6154
(208) 523-1090
Mailing address
601 BRENTWOOD CIR, IDAHO FALLS, ID 83402-2925
(208) 851-0468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7300
ID
Other
Enumeration date
02/07/2016
Last updated
05/25/2020
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