Individual
MICHELLE WILCOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 E MAIN ST, DOVER FOXCROFT, ME 04426-1304
(207) 564-9011
Mailing address
51 LOWER DETROIT RD, PLYMOUTH, ME 04969-3212
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR27844
ME
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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