Derek Hicks, PHARM D

NPI 1467555094 · on the registry since 2006

Practice

Address: 606 N Broad Street
New Tazewell, TN 37825
Phone: (423) 626-5411
Fax: (423) 626-6538
Organisation at this address: Ultacare Medical Pllc
Elite Urgent Care Pllc
Nt Medical Center Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
Licence states on file: TN, GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee