Individual
MR. JERRY L. HICKS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
10201 SE 240TH ST, KENT, WA 98031-4895
(253) 859-5533
(253) 859-5541
Mailing address
10201 SE 240TH ST, KENT, WA 98031-4895
(253) 859-5533
(253) 859-5541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH00009801
WA
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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