Individual
MR. JOHN LAWRENCE SICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Contact information
Practice address
318 ABALONE LOOP, MESCALERO, NM 88340-9213
(575) 464-3843
(575) 464-9198
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2003008987
MO
Other
Enumeration date
11/01/2006
Last updated
07/12/2023
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