institution
Desak G Hicks
Compounding Pharmacy in Coffeeville, Alabama
NPI 1134182827

Desak G Hicks is a Compounding Pharmacy based in Coffeeville, AL and is specialized in Compounding Pharmacy. Desak G Hicks practices in Coffeeville, AL. The NPI Number for Desak G Hicks is 1134182827 and holds a License No. 110452 (Alabama).

The current practice location address for Desak G Hicks is 873 Highway 84, Coffeeville, AL and can be reached out via phone at 251-276-3400 and via fax at 251-276-3562.

Location: 873 Highway 84, Coffeeville, AL, 36524-5012
institution
Provider Profile Details
NPI Number
1134182827
Provider Name
Desak G Hicks
Credential
Provider Entity Type
Organization
Address
873 Highway 84, Coffeeville, AL, 36524-5012
Phone Number
251-276-3400
Fax Number
251-276-3562
Provider Enumeration Date
04/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001132 05 AL
0105672 01 NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
873 Highway 84
City
State
Zip
36524-5012
Phone Number
251-276-3400
Fax Number
251-276-3562
person
Provider Business Mailing Address Details
Address
873 Highway 84
City
State
Zip
36524-5012
Phone Number
251-276-3400
Fax Number
251-276-3562
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
110452 (Alabama)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
110452 (Alabama)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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