Hickman, Leonard Ray

Hickman, Leonard Ray is an individual health care provider with primary practice located at 22530 Us Highway 98 , Fairhope AL 36532-8303. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Hickman, Leonard Ray can be contacted via phone (251) 929-7359.

Contact Information

Primary practice address
22530 Us Highway 98 Fairhope AL 36532-8303
Fax: (251) 929-7364
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 11113 Alabama
Pharmacy Service Providers / Pharmacist 183500000X 25836 Florida

Profile Details

NPI number 1922346378
LBN Legal business name Hickman, Leonard Ray
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2013
Last updated Jan 18th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922346378 NPPES
Florida Other 25836 STATE LICENSE
Florida Other 11113 STATE LICENSE

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