Individual
ANDREW JAMES HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W HOSPITAL DR, WHITERIVER, AZ 85941
(928) 338-3505
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-3505
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9151171-1701
UT
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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