Individual
DR. RICKE J. WEICKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
9040 JACKSON AVE, 8-NORTH, IPMC, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-5165
(253) 968-0982
Mailing address
9040 JACKSON AVE, 8-NORTH, IPMC, JOINT BASE LEWIS MCCHORD, WA 98431-0001
(253) 968-5165
(253) 968-0982
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
145089-1701
UT
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
145089-1701
UT
Other
Enumeration date
07/02/2006
Last updated
06/21/2016
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