Desak G Hicks Valid NPI

Organization · Community/Retail Pharmacy · Coffeeville, AL

NPI

1134182827

Type

Organization (Type 2)

Primary specialty

Community/Retail Pharmacy (Pharmacy)

Specialty group

Suppliers

Taxonomy code

3336C0003X

License number

110452 (AL)

Enumerated

2006-04-11

Last updated

2011-03-21