Individual
MISS CHANDRA YVETTE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
912 RIDGE RD, TALLAHASSEE, FL 32305-6916
(850) 656-2667
Mailing address
912 RIDGE RD, TALLAHASSEE, FL 32305-6916
(850) 656-2667
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS36395
FL
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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