JOHNNY MIKE HICKS

FAYETTEVILLE, AR
NPI1871193847
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AR  PD11945)
Enumeration Date2020-10-29
Last Update Date2020-10-29
Business Address
JOHNNY MIKE HICKS
3081 N HIGHWAY 112
FAYETTEVILLE, AR 72704-7436
Phone number: 479-587-1853
Mailing Address
JOHNNY MIKE HICKS
3081 N HIGHWAY 112
FAYETTEVILLE, AR 72704-7436
Phone number:
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