SHANICE HICKLEN

INDIAN TRAIL, NC
NPI1588183974
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NC  27175)
Additional Taxonomies183500000X Pharmacist
(Licence: SC  37232)
Enumeration Date2017-09-17
Last Update Date2024-10-28
Business Address
SHANICE HICKLEN
2101 YOUNTS RD
INDIAN TRAIL, NC 28079-8505
Phone number: 704-882-6853
Mailing Address
SHANICE HICKLEN
14202 DERBY FARM LN
CHARLOTTE, NC 28278-8169
Phone number: