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Contact Information

WILLCOX PHARMACY, LLC
902 W REX ALLEN DRIVE
SUITE A
WILLCOX, AZ85643
 Phone: 520-364-2315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WILLCOX PHARMACY, LLC

NPI # 1528392545
LBN Legal business name WILLCOX PHARMACY, LLC
Authorized official GREG SHUMAKER - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/23/2009
Last updated 09/23/2009 - About 17 years ago
Identifiers
AZ License # Y005192
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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