Individual
DR. COURTNEY DIANNE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1016 SW LEE BLVD, LAWTON, OK 73501-5721
(580) 353-1940
Mailing address
3028 NE LANCASTER LN, LAWTON, OK 73507-1924
(580) 276-6620
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18090
OK
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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