NPI 1285916239

Tina Hicov, RPH

Practitioner Pharmacist Avon Lake, OH

Practice location

Address: 32798 Walker Rd, Avon Lake, OH 44012-1443
Phone: (440) 930-5873

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 03122256 (OH)

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Registry record

NPI: 1285916239
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2011
Record last updated: 15 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.