Individual
DR. KRYSTAL L HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
14175 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-8407
(623) 935-3531
Mailing address
14175 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-8407
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11262
AZ
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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