IndividualActive
Shelby Wicks
NPI 1134726904 · Pharmacist · Commerce, TX
Provider details
- NPI number
- 1134726904
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 67334 (TX)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
1603 Culver St
Commerce, TX 75428-3422
Phone: (903) 886-2867
Approximate (ZIP-level) locationGet directions
Mailing address
1603 Culver St
Commerce, TX 75428-3422
Registry dates
- Enumerated
- 2020-10-05
- Last updated
- 2020-10-05
- Certified
- 2020-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.