Micah Wilcox
Pharmacist in Olympia, WA. Individual provider (NPI-1).
NPI number1326416645
StatusActive
Last updated in NPPESSep 3, 2015
Details
- NPI
- 1326416645
- Entity type
- Individual (NPI-1)
- Name
- Micah Wilcox
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 2, 2015
- Last updated
- Sep 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PH60550328 | WA | Yes |
Practice location
413 Lilly Rd NeOlympia, WA 98506-5133
Phone 360-493-5438
Mailing address
710 Fox Run Dr NwOlympia, WA 98502-4413
Phone 360-584-6746
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