Robert Dean Wilcox
Organization Active NPI Community/Retail Pharmacy · Lolo, MT
NPI 1528073152 · NPPES record last updated Mar 23, 2010
Key facts
- NPI
- 1528073152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 137 (MT)
- Legal business name
- ROBERT DEAN WILCOX
- Practice address
- 103 Glacier Dr
Lolo, MT 59847-8700 - Phone
- (406) 273-2322
- Fax
- (406) 273-4208
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Robert Dean Wilcox, RPH
- Title
- Owner
- Phone
- (406) 273-2322
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 137 | MT | Yes |
Addresses
Primary practice location
103 Glacier Dr
Lolo, MT 59847-8700
Mailing address
PO Box 156
Lolo, MT 59847-0156
Phone (406) 273-2322
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2702555 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names
- LOLO DRUG
Other providers in Lolo, MT
- Montana Childrens Dentistry PLLC
- Montana Migrant and Seasonal Farmworkers Council, Inc.
- Greg Murray
- Kira Pecarina
- Ross William Roadarmel
- Michael Rafia Sandry
- Melinda Ann Smith
- Strong Physio PLLC
- Sunshine Oxygen Service Incorporated
- Vicki Lynn Thuesen
All providers in Lolo, MT · Community/Retail Pharmacy in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.