Individual
MISTI HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 MCADAMS AVE, DAPHNE, AL 36526-4441
(251) 377-7833
Mailing address
497 MCADAMS AVE, DAPHNE, AL 36526-4441
(251) 377-7833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12590
AL
Other
Enumeration date
11/28/2020
Last updated
11/28/2020
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