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1871193847
JOHNNY MIKE HICKS
FAYETTEVILLE, AR
NPI
1871193847
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD11945)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
JOHNNY MIKE HICKS
3081 N HIGHWAY 112
FAYETTEVILLE, AR 72704-7436
Phone number: 479-587-1853
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Mailing Address
JOHNNY MIKE HICKS
3081 N HIGHWAY 112
FAYETTEVILLE, AR 72704-7436
Phone number:
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