NPI 1306017595

Jon Gary Hicks, PHARMACYTECHNICIAN

Practitioner Pharmacy Technician Birmingham, AL

Practice location

Address: 146 Three Sons Dr, Birmingham, AL 35226-2961
Phone: (205) 824-9086

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence T02361 (AL)

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Registry record

NPI: 1306017595
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Mar 2008
Record last updated: 17 Mar 2008

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.