Shelby Breeann Wicks

NPI #1134726904 in Commerce, Texas

Provider Information

NPI Number
1134726904
Entity Type
Individual
Name
Shelby Breeann Wicks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Oct 5, 2020
Last Updated
Oct 5, 2020

Practice Location

Address
1603 CULVER ST
State
Texas
ZIP Code
75428-3422
Phone
(903) 886-2867

Specialties & Taxonomy Codes

Specialty
Pharmacist

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