| NPI | 1154688927 |
|---|---|
| Doing Business As | WILMOT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LISETTE ESTALA Credentialing Specialist 520-682-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: AZ OTC5399) |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2017-10-04 |