Hickmans Prescription Drug

LBN: Hickmans Prescription Druggist Inc
Hickmans Prescription Drug is an health care organization with primary practice located at 199 12Th Street Ext , Princeton WV 24740-2352. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Hickmans Prescription Druggist Inc can be contacted via phone (304) 425-2188, or through Hickman, John via phone (304) 425-2188.

Contact Information

Primary practice address
199 12Th Street Ext Princeton WV 24740-2352
Phone: (304) 425-2188
Fax: (304) 425-2189
Website:
Map and Directions
Authorized official contact:
Name: Hickman, John RPH
Phone: (304) 425-2188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X SP0550120 West Virginia
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1194764167
LBN Legal business name Hickmans Prescription Druggist Inc
DBA Doing business as Hickmans Prescription Drug
Authorized official Hickman, John RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 31st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194764167 NPPES
Other 2109476 PK
MEDICAID 0141947000 PK

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