Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN HICKS
Active Sole ProprietorJORDAN HICKS is a Pharmacy healthcare provider located in COLUMBIA, South Carolina. NPI 1477020782 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · COLUMBIA, SC
Registration Details
- NPI Number
- 1477020782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2018 (7.7764825195488 yrs)
- Last Updated
- Oct 25, 2018
- License
-
37825 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 OUTLET POINTE BLVDCOLUMBIA, SC, 292105669Browse SC providers · Browse ZIP 29210
- Phone
- 8037720403
- Primary Specialty
-
Pharmacy
333600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.