MR. Charles I Hicks, R.PH.

NPI #1457609489 in Jerome, Michigan

Provider Information

NPI Number: 1457609489
Entity Type: Individual
Name: MR. Charles I Hicks, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 23, 2012
Last Updated: Aug 23, 2012

Practice Location

Address: 9807 BEACHVIE DR
City: Jerome
State: Michigan
ZIP Code: 49249-9551
Phone: (517) 688-4520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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