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HICKMANS PRESCRIPTION DRUGGIST INC NPI 1194764167


NPI Information

NPI: 1194764167
Provider Name: HICKMANS PRESCRIPTION DRUGGIST INC

Doing Business As: HICKMANS PRESCRIPTION DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
199 12TH STREET EXT
PRINCETON, WV
ZIP 24740
Phone: (304) 425-2188
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HICKMANS PRESCRIPTION DRUGGIST INC is a community/retail pharmacy pharmacy in Princeton, WV. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HICKMANS PRESCRIPTION DRUGGIST INC NPI is 1194764167. The provider is registered as an organization entity type.
The provider Is Doing Business As Hickmans Prescription Drug.

The provider's business location address is:

199 12TH STREET EXT
PRINCETON, WV
ZIP 24740-352
Phone: (304) 425-2188
Fax: (304) 425-2189

The provider's authorized official is John Hickman .
The authorized official title is Pic and has the following contact phone number (304) 425-2188.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 3/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336C0004XPharmacyCompounding PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacySP0550120WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12109476OTHERPK
20141947000MEDICAIDWEST VIRGINIA
31104080001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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