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Jordan Hicks

NPI 1477020782 · on the registry since 2018 · sole proprietor

Practice

Address
100 Outlet Pointe Blvd
Columbia, SC 29210
Phone
(803) 772-0403
Organisation at this address
South Carolina Cvs Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Pharmacy
333600000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-25

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 South Carolina