JOHN WIKSEN

OZARK, MO
NPI1649870148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: MO  2017044638)
Additional Taxonomies183500000X Pharmacist
(Licence: SD  5667)
183500000X Pharmacist
(Licence: MN  122425)
183500000X Pharmacist
(Licence: IA  23217)
Enumeration Date2020-10-26
Last Update Date2020-10-26
Business Address
JOHN WIKSEN PharmD
2004 W MARLER LN
OZARK, MO 65721-7661
Phone number: 605-595-1959
Mailing Address
JOHN WIKSEN PharmD
725 E ELEVEN POINT LN
NIXA, MO 65714-7931
Phone number: 605-595-1959