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NPI Code Detail

MEDICARE: DR. AMY HICKMAN PHARMD

MEDICARE:  DR. AMY  HICKMAN  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist03328718OH

General Provider Information

NPI Number : 1023555745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY HICKMAN PHARMD
Provider Business Mailing Address
First Line : 4038 RHODES AVE
Second Line :
City : NEW BOSTON
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-773-1141
Fax Number :
Provider Business Practice Location Address
First Line : 4038 RHODES AVE
Second Line :
City : NEW BOSTON
State : OH
Zip : 45662-5527
Country : US
Telephone Number : 740-773-1141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2017
Last Update Date : 04/20/2026

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Directions to “ DR. AMY HICKMAN PHARMD” Practice Location

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