Individual
JAMES L. HICKS, III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3160 AUDUBON DR, LAUREL, MS 39440-1926
(601) 428-0688
(601) 428-0689
Mailing address
418 W 27TH ST, LAUREL, MS 39440-1724
(601) 428-0688
(601) 428-0689
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6030
MS
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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