Individual
LETIZIA S HICKOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
52 E BROAD ST, BRIDGETON, NJ 08302-2831
(856) 455-0777
Mailing address
2494 BAYBERRY LN, VINELAND, NJ 08361-7386
(856) 691-0238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RIO1989600
NJ
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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