Individual
ANGELIA DENISE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1851 HIGHWAY 192 W, LONDON, KY 40741-3032
(606) 878-3041
(600) 877-3041
Mailing address
94 SULFER SPRINGS RD, LONDON, KY 40744-9704
(606) 401-3032
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010271
KY
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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