MR. Jerry L. Hicks SR., RPH

NPI #1518223056 in Kent, Washington

Provider Information

NPI Number: 1518223056
Entity Type: Individual
Name: MR. Jerry L. Hicks SR., RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Apr 10, 2012
Last Updated: Apr 10, 2012

Practice Location

Address: 10201 SE 240TH ST
City: Kent
State: Washington
ZIP Code: 98031-4895
Phone: (253) 859-5533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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