Individual
DR. JEREMIAH HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
4309 CONNECTICUT AVE NW, WASHINGTON, DC 20008-2305
(202) 966-3023
(202) 364-1202
Mailing address
2304 LAKEWOOD ST, SUITLAND, MD 20746-1419
(302) 399-4259
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100001943
DC
Other
Enumeration date
05/09/2020
Last updated
05/09/2020
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