Individual
DR. LEAH RENAE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
69 DOGWOOD AVE, BUILDING 200, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29459
TN
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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