Robert Dean Wilcox

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

137 Issued in MT

Legal business name

ROBERT DEAN WILCOX

Doing business as

Lolo Drug

Practice address

103 Glacier Dr
Lolo, MT 59847-8700

Phone

(406) 273-2322

Fax

(406) 273-4208

NPI assigned

Jul 30, 2006

Last updated

Mar 23, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Dean Wilcox, RPH

Title

Owner

Phone

(406) 273-2322

Specialties & licenses 1

Addresses

Other names 1

• LOLO DRUG Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1528073152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598470156",
            "telephone_number": "406-273-2322",
            "fax_number": "406-273-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GLACIER DR",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598478700",
            "telephone_number": "406-273-2322",
            "fax_number": "406-273-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DEAN WILCOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-273-2322",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MT",
            "license": "137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOLO DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lolo, MT
• Providers in Lolo, MT by specialty
• Community/Retail Pharmacy in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.