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1205100609
ROBERT LEE HICKERSON
SPARTANBURG, SC
NPI
1205100609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 8680)
Additional Taxonomies
183500000X Pharmacist
(Licence: NC 9045)
Enumeration Date
2012-03-02
Last Update Date
2012-03-02
Business Address
-- ROBERT LEE HICKERSON R.Ph.
2120 BOILING SPRINGS RD INGLES PHARMACY
SPARTANBURG, SC 29316-5301
Phone number: 864-599-0668
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Mailing Address
-- ROBERT LEE HICKERSON R.Ph.
2120 BOILING SPRINGS RD INGLES PHARMACY
SPARTANBURG, SC 29316-5301
Phone number: 864-599-0668
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