JORDAN HICKS

COLUMBIA, SC
NPI1477020782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy333600000X Pharmacy
(Licence: SC  37825)
Enumeration Date2018-10-25
Last Update Date2018-10-25
Business Address
JORDAN HICKS
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210-5669
Phone number: 803-772-0403
Mailing Address
JORDAN HICKS
100 OUTLET POINTE BLVD
COLUMBIA, SC 29210-5669
Phone number: