Individual
JORDAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 OUTLET POINTE BLVD, COLUMBIA, SC 29210-5669
(803) 772-0403
Mailing address
100 OUTLET POINTE BLVD, COLUMBIA, SC 29210-5669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
37825
SC
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
About Stedi
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