Desak G Hicks in Coffeeville - Community/retail Pharmacy

Desak G Hicks - NPI 1134182827

Desak G Hicks is a Community/retail Pharmacy in Coffeeville, Alabama. Desak G Hicks practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Desak G Hicks is 1134182827. The last update date is 2011-03-21.

Desak G Hicks's current location address is 873 Highway 84, Coffeeville, Alabama. You can contact this provider via phone number 2512763400 and fax number 2512763562. The mailing address for Desak G Hicks is 873 Highway 84, Coffeeville, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Desak G Hicks
Address 873 Highway 84, Coffeeville, Alabama
Phone Number 2512763400
Fax Number 2512763562
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHAR
Authorized Official Name Hicks George Desak
Telephone Number 2512763400

NPI Number Detail

NPI Number 1134182827
Provider Enumeration Date 2006-04-11
Last Updated Date 2011-03-21

Provider Mailing Address Detail

Address 873 Highway 84
City Coffeeville
State Alabama (AL)
Post Code 365245012
Phone Number 2512763400
Fax Number 2512763562

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 110452
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100001132 AL --
105672 NCPDP NUMBER

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FAQs about Desak G Hicks

What is the unique 10-digit identification code assigned to Desak G Hicks by the Centers for Medicare & Medicaid Services?

The Desak G Hicks has been issued the NPI (National Provider Identifier) 1134182827, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Desak G Hicks is located?

The Desak G Hicks is situated at the following address: 873 Highway 84, Coffeeville, AL, 365245012.

What is Desak G Hicks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Desak G Hicks is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

When was the Desak G Hicks's 1134182827 issued?

The Desak G Hicks's 1134182827 was issued on 2006-04-11.

When was the information related to Desak G Hicks most recently updated or refreshed?

The details pertaining to the Desak G Hicks, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-03-21.

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