Individual
DR. DIAMOND HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-7300
Mailing address
3542 CAROLINE VALE BLVD, JACKSONVILLE, FL 32277-9313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS49906
FL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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