Individual
JENNIFER PONDER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
29812 AL HIGHWAY 71, BRYANT, AL 35958-5240
(256) 597-4020
Mailing address
29812 AL HIGHWAY 71, BRYANT, AL 35958-5240
(256) 597-4020
(256) 597-4077
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH023238
GA
Other
Enumeration date
06/27/2007
Last updated
01/08/2021
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