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Jodi Lynn Hicks I
Pharmacist in Goshen, Indiana
NPI 1124476130

Jodi Lynn Hicks I is a Pharmacist based in Goshen, IN. Jodi Lynn Hicks I practices in Goshen, IN. The NPI Number for Jodi Lynn Hicks I is 1124476130 and holds a License No. 26017560A (Indiana).

The current practice location address for Jodi Lynn Hicks I is 4522 Elkhart Rd, Goshen, IN and can be reached out via phone at 574-875-3010 and via fax at 574-875-3065.

Location: 4522 Elkhart Rd, Goshen, IN, 46526-5822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124476130
Provider Name
Jodi Lynn Hicks I
Credential
Provider Entity Type
Individual
Gender
Female
Address
4522 Elkhart Rd, Goshen, IN, 46526-5822
Phone Number
574-875-3010
Fax Number
574-875-3065
Provider Enumeration Date
05/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4522 Elkhart Rd
City
Goshen
State
Indiana
Zip
46526-5822
Phone Number
574-875-3010
Fax Number
574-875-3065
person
Provider Business Mailing Address Details
Address
4522 Elkhart Rd
City
Goshen
State
Indiana
Zip
46526-5822
Phone Number
574-875-3010
Fax Number
574-875-3065
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26017560A (Indiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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