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BRYAN KEITH HICKS RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1437118148

Individual Registrant:
 BRYAN KEITH HICKS RPH
Gender: M
Not Sole Proprietor

Location and contact information for practice:
73 BANK ST  STEVENSON, AL 35772-3781 US
Tel: 256-437-2248  Fax: 256-437-9003

Contact information for business:
73 BANK ST P O BOX 1031 STEVENSON, AL 35772-3781 US
Tel: 256-437-2248  Fax: 256-437-9003

Registration Information:
NPI: 1437118148
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
AL10918

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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