Jodi Lynn Hicks I

Pharmacist · Goshen, IN

Individual Active NPI

NPI number 1124476130

Practice location

4522 Elkhart Rd
Goshen, IN 46526-5822
Phone
(574) 875-3010
Fax
(574) 875-3065

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NPI record

NPI
1124476130
Entity type
Individual (Type 1)
Enumeration date
May 31, 2016
Last updated
May 31, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 26017560A IN

About Jodi Hicks

Jodi Lynn Hicks I is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4522 Elkhart Rd, Goshen, IN 46526-5822. The NPI number 1124476130 was assigned on May 31, 2016 and the record was last updated on May 31, 2016.

Jodi Hicks lists a license in the registry: #26017560A (IN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jodi Lynn Hicks I?

The NPI number is 1124476130.

What is the phone number of Jodi Hicks?

The phone number listed for the practice location is (574) 875-3010.

Where is Jodi Hicks located?

4522 Elkhart Rd, Goshen, IN 46526-5822.

What is the taxonomy code for Jodi Hicks?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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