Individual
ROBERT LEE HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2120 BOILING SPRINGS RD, INGLES PHARMACY, SPARTANBURG, SC 29316-5301
(864) 599-0668
Mailing address
2120 BOILING SPRINGS RD, INGLES PHARMACY, SPARTANBURG, SC 29316-5301
(864) 599-0668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8680
SC
183500000X
Pharmacist
9045
NC
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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