MEDICARE: ROSE M HICKSON RPH

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
1	183500000X	Pharmacist	32385	TX

General Provider Information

NPI Number	:	1881546208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE M HICKSON RPH

Provider Business Mailing Address
First Line	:	1000 N TEXANA ST
Second Line	:
City	:	HALLETTSVILLE
State	:	TX
Zip	:	77964-2015
Country	:	US
Telephone Number	:	361-798-0232
Fax Number	:	361-798-4790

Provider Business Practice Location Address
First Line	:	1000 N TEXANA ST
Second Line	:
City	:	HALLETTSVILLE
State	:	TX
Zip	:	77964-2015
Country	:	US
Telephone Number	:	361-798-0232
Fax Number	:	361-798-4790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ ROSE M HICKSON RPH” Practice Location

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