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Contact Information

EDWARD S. WILCOX
1009 MAIN ST
REPUBLIC, PA15475
 Phone: 724-246-8800
 Fax: 724-246-5050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EDWARD S. WILCOX

NPI # 1073678850
LBN Legal business name EDWARD S. WILCOX
Authorized official EDWARD WILCOX - (OWNER PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 08/25/2010 - About 16 years ago
Identifiers
PA License # PP411751L
PA Medicaid 000563349
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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