Organization
HICKMANS PRESCRIPTION DRUGGIST INC
Active
Other names
HICKMANS EAST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HICKMAN RPH (PIC)
(304) 425-1077
Entity
Organization
Contact information
Practice address
306 ROGERS ST, PRINCETON, WV 24740-3600
(304) 425-1077
(304) 425-4250
Mailing address
306 ROGERS ST, PRINCETON, WV 24740-3600
(304) 425-1077
(304) 425-4250
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0552309
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141947001
—
WV
01
—
2109475
PK
—
Enumeration date
06/11/2006
Last updated
11/17/2016
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