| NPI | 1194764167 |
|---|---|
| Doing Business As | HICKMANS PRESCRIPTION DRUG |
| Entity Type | Organization |
| Authorized Contact | JOHN HICKMAN PIC 304-425-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WV SP0550120) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2017-03-31 |