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General NPI Number Information
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NPI Number | 1659320547
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Entity Type | Organization
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Legal Business Name | WILCOX DRUGS INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1305 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-4529
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Country | US
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Telephone | 717-274-1500
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Fax | 717-274-2583
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Provider Business Mailing Address
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Address Line | 1305 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-4529
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Country | US
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Telephone | 717-274-1500
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Fax | 717-274-2583
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Authorized Official
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Title or Position | OWNER/PHARMACIST
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Name | MR. DAVID WILCOX
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Credential | R.PH
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Telephone | 717-274-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PP413769L
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License Number State | PA
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