Desak G Hicks in Coffeeville - Compounding Pharmacy
Desak G Hicks - NPI 1134182827
Desak G Hicks is a Compounding Pharmacy in Coffeeville, Alabama. Desak G Hicks practices all healthcare services and medical treatments related to Compounding 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 | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | 110452 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100001132 | AL | -- | |
| 105672 | NCPDP NUMBER |
Post Comment/ Review Below
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 Compounding Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0004X.
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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