Healthcare Provider Details

I. General information

NPI: 1912830423
Provider Name (Legal Business Name): ABBY HICKMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5121 S COTTONWOOD ST
MURRAY UT
84107-5701
US

IV. Provider business mailing address

3215 E BON VIEW DR
SALT LAKE CITY UT
84109-3703
US

V. Phone/Fax

Practice location:
  • Phone: 801-507-5404
  • Fax:
Mailing address:
  • Phone: 913-669-0479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number9048580-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: