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DESAK G HICKS

Medical Equipment Supplier Yellow Pages

Coffeeville, Alabama

Provider NPI: 1134182827

Organization Information:
Organization Name:  DESAK G HICKS


Practice Location:
873 HIGHWAY 84  COFFEEVILLE, AL 36524 US
Tel: 251-276-3400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
AL110452
Y3336C0003XSuppliers
Pharmacy
AL110452

Other Provider Identifiers:

IssuerNumberStateType
100001132AL05
NCPDP NUMBER010567201
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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