| NPI | 1093757619 |
|---|---|
| Doing Business As | HICKMANS EAST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN HICKMAN PIC 304-425-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WV SP0552309) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2016-11-17 |