WILCOX MEDICAL, INC
Parenteral and Enteral Nutrition
Rutland, Vermont
Provider NPI: 1487760161
Organization Information:Organization Name: WILCOX MEDICAL, INC
Practice Location:
217 WOODSTOCK AVE SUITE B RUTLAND, VT 05701 US
Tel: 802-775-3351 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
217 WOODSTOCK AVE SUITE B RUTLAND, VT 05701 US
Tel: 802-775-3351 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336S0011X | Suppliers Pharmacy Specialty Pharmacy | ||
N | 251F00000X | Agencies Home Infusion | ||
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
N | 333600000X | Suppliers Pharmacy | ||
N | 3336C0004X | Suppliers Pharmacy | ||
N | 3336M0002X | Suppliers Pharmacy | ||
Y | 3336H0001X | Suppliers Pharmacy |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHARMACY | 0380093947 | VT | 01 |
0290770001 | VT | 05 | |
NCPDP | 4704284 | 01 | |
LICENSE | 038.0093947-HMIF | VT | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin