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Individual

JACOB HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7700 NE HIGHWAY 99 STE B, VANCOUVER, WA 98665-8890
(360) 699-8133
Mailing address
7700 NE HIGHWAY 99 STE B, VANCOUVER, WA 98665-8890
(360) 699-8133

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60727731
WA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
PH60727731
WA

Other

Enumeration date
05/14/2017
Last updated
03/24/2023
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