Individual
ALLEN R HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-7979
Mailing address
598 LAKESIDE DR, AIKEN, SC 29803-7527
(706) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15548
GA
183500000X
Pharmacist
5429
SC
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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