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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194764167 | NPPES |
| Other | 2109476 | PK | |
| MEDICAID | 0141947000 | PK |
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