HICKMANS PRESCRIPTION DRUGGIST INC
199 12th Street Ext
Princeton, WV 24740
304-425-2188
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 332B00000X | Suppliers - Durable Medical Equipment & Medical Supplies | ||
N | 3336C0004X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | WV | SP0550120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2109476 | OTHER | |
0141947000 | WV | MEDICAID |