Individual
JASMIN HICKLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1537 CHARLESTON HWY, WEST COLUMBIA, SC 29169-5047
(803) 796-3392
Mailing address
1537 CHARLESTON HWY, WEST COLUMBIA, SC 29169-5047
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14220
SC
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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