Individual provider · Type 1 NPI

Jodi Lynn Hicks I

Pharmacist · Goshen, IN

NPI number 1124476130 Active

Practice location

4522 Elkhart Rd
Goshen, IN 46526-5822

Call (574) 875-3010 Map

Fax (574) 875-3065

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26017560A (IN)

Pharmacist: 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…

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About NPI 1124476130

Jodi Lynn Hicks I's National Provider Identifier is 1124476130, issued on May 31, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Goshen, IN. The record was last updated on May 31, 2016.