Organization
HICKS GROUP INC
Active
Other names
The Medicine Mart
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MCGILL HICKS R.PH. (CORP OFFICER)
(803) 649-7437
Entity
Organization
Contact information
Practice address
1020 RICHLAND AVE W, AIKEN, SC 29801-3224
(803) 649-7437
(803) 649-2062
Mailing address
1020 RICHLAND AVE W, AIKEN, SC 29801-3224
(803) 649-7437
(803) 649-2062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50008778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620607
—
SC
Enumeration date
10/06/2006
Last updated
08/17/2011
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