Individual
IFE ABIGAIL BILICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
334 E MARTINTOWN RD, NORTH AUGUSTA, SC 29841-4261
(803) 441-3900
Mailing address
204 RED GLOBE ST, NORTH AUGUSTA, SC 29860-7696
(716) 242-9997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
37872
SC
183500000X
Pharmacist
Primary
61783
TX
183500000X
Pharmacist
RPH030804
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37872
STATE LICENSE (SC)
SC
01
—
61783
STATE LICENSE (TX)
TX
01
—
RPH030804
STATE LICENSE (GA)
GA
Enumeration date
08/28/2018
Last updated
08/28/2018
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