Organization
HICKS GROUP INC
Active
Other names
THE MEDICINE MART
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE MC GILL HICKS RPH (PIC CORP OFFICER)
(803) 649-7437
Entity
Organization
Contact information
Practice address
1020 RICHLAND AVE W, AIKEN, SC 29801-3224
(803) 649-7437
(803) 649-2062
Mailing address
1020 RICHLAND AVE W, AIKEN, SC 29801-3224
(803) 649-7437
(803) 649-2062
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
8778
SC
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089699
PK
—
05
—
787781
—
SC
Enumeration date
08/31/2006
Last updated
07/15/2014
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