Individual
STEPHANIE M WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
1206 S LOCUST ST, GLENWOOD, IA 51534-1889
(712) 527-1200
Mailing address
1206 S LOCUST ST, GLENWOOD, IA 51534-1889
(712) 527-1200
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12470
NE
183500000X
Pharmacist
Primary
20329
IA
Other
Enumeration date
08/26/2011
Last updated
09/17/2021
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