Stacey L Hicks, PHARM D

NPI #1346519519 in Lebanon, Tennessee

Provider Information

NPI Number: 1346519519
Entity Type: Individual
Name: Stacey L Hicks, PHARM D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARM D
Enumeration Date: Dec 17, 2011
Last Updated: Dec 17, 2011

Practice Location

Address: 606 S CUMBERLAND ST
City: Lebanon
State: Tennessee
ZIP Code: 37087-4108
Phone: (615) 449-7770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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