Individual
BRIAN HICKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4241 CAPITOL AVE, DALLAS, TX 75204-3635
(972) 338-3101
Mailing address
2410 TAYLOR ST APT 22412, DALLAS, TX 75201-8460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66368
TX
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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