Wilcox, Scott

Wilcox, Scott is an individual health care provider with primary practice located at 2700 Grandview Blvd , Waukesha WI 53188-1611. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wilcox, Scott can be contacted via phone (262) 542-2003.

Contact Information

Primary practice address
2700 Grandview Blvd Waukesha WI 53188-1611
Phone: (262) 542-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15201-40 Wisconsin

Profile Details

NPI number 1114204690
LBN Legal business name Wilcox, Scott
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2011
Last updated Nov 10th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114204690 NPPES
Wisconsin MEDICAID 33058200

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