Wilcox, Madonna Rose

Wilcox, Madonna Rose is an sole proprietor health care provider with primary practice located at 20061 Larino Loop , Estero FL 33928-6363. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Wilcox, Madonna Rose can be contacted via phone (573) 552-5995.

Contact Information

Primary practice address
20061 Larino Loop Estero FL 33928-6363
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS48377 Florida
Pharmacy Service Providers / Pharmacist 183500000X 041012 Missouri

Profile Details

NPI number 1558616649
LBN Legal business name Wilcox, Madonna Rose
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2012
Last updated Jul 16th, 2012 - about 13 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 1558616649 NPPES
Florida Other PS48377 PHARMACIST LICENSE NUMBER

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