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1215696760
LARRY GLENN HICKS
FORT SAM HOUSTON, TX
NPI
1215696760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 28952)
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
LARRY GLENN HICKS RPh
BROOKE ARMY MEDICAL CENTER
FORT SAM HOUSTON, TX 78234
Phone number: 210-916-6866
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Mailing Address
LARRY GLENN HICKS RPh
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-6866
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