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NPI Code Detail

MEDICARE: MICHELLE WILCOX

MEDICARE: MICHELLE WILCOX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPR27844ME

General Provider Information

NPI Number : 1932500063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE WILCOX
Provider Business Mailing Address
First Line : 51 LOWER DETROIT RD
Second Line :
City : PLYMOUTH
State : ME
Zip : 04969-3212
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 151 E MAIN ST
Second Line :
City : DOVER FOXCROFT
State : ME
Zip : 04426-1304
Country : US
Telephone Number : 207-564-9011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/08/2014

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Directions to “ MICHELLE WILCOX ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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