Healthcare Provider Details

I. General information

NPI: 1487576047
Provider Name (Legal Business Name): LILY HICKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-1800
US

IV. Provider business mailing address

784 MONTGOMERY HWY
VESTAVIA HILLS AL
35216-1800
US

V. Phone/Fax

Practice location:
  • Phone: 205-824-6100
  • Fax:
Mailing address:
  • Phone: 205-824-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number24767
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: