Individual
MR. ROBERT DALE HICKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH,MS
Contact information
Practice address
RR 4 BOX 1E, FAIRMONT, WV 26554-9328
(304) 366-8395
(304) 366-8395
Mailing address
RR 4 BOX 1E, FAIRMONT, WV 26554-9328
(304) 366-8395
(304) 366-8395
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4025
WV
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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