Individual
KATHERINE MARIE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
19 PUBLIC SQUARE, STOCKTON, MO 65785
(417) 276-3128
(417) 276-4914
Mailing address
PO BOX 189, STOCKTON, MO 65785-0189
(417) 276-3128
(417) 276-4914
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
210119156157679
MO
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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