Individual
DR. JEREMY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1030 JEFFERSON AVE, PHARMACY, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
8352 ROY LN, OOLTEWAH, TN 37363-9247
(423) 902-2942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26984
TN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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