Individual provider · Type 1 NPI
Larry Glenn Hicks, RPH
Pharmacist · Fort Sam Houston, TX
Practice location
Brooke Army Medical Center
Fort Sam Houston, TX 78234
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 28952 (TX) |
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 1215696760
Larry Glenn Hicks, RPH's National Provider Identifier is 1215696760, issued on Dec 13, 2021. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Dec 13, 2021.