Provider Demographics
NPI:1891404398
Name:WILCOX, RHONDA FAY (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:FAY
Last Name:WILCOX
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:JUANITA
Other - Last Name:FAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:7534 CARMELA WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446
Mailing Address - Country:US
Mailing Address - Phone:717-385-8978
Mailing Address - Fax:
Practice Address - Street 1:686 GLADES ROAD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431
Practice Address - Country:US
Practice Address - Phone:561-395-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist