| NPI | 1265868665 |
|---|---|
| Doing Business As | WICKHAM PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANKIT SHAH Owner, Phcy Mgr, PIC 321-241-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH26906) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2014-11-19 |