Healthcare Provider Details

I. General information

NPI: 1427978808
Provider Name (Legal Business Name): DEVIN WILCOX RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1412 E OLD NORTH RD
SAND SPRINGS OK
74063-8972
US

IV. Provider business mailing address

1412 E OLD NORTH RD
SAND SPRINGS OK
74063-8972
US

V. Phone/Fax

Practice location:
  • Phone: 918-724-4868
  • Fax:
Mailing address:
  • Phone: 918-724-4868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number12521
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: