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Jordan Hicks — NPI 1477020782, Columbia, SC | NPI Central

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Jordan Hicks

NPI 1477020782 · Pharmacy · Columbia, SC

Provider details

NPI number: 1477020782
Entity type: Individual
Primary specialty: PharmacySuppliers
Sex: Male
Sole proprietor: Yes
License: 37825 (SC)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 37825 (SC)
Suppliers

Practice location

100 Outlet Pointe Blvd

Columbia, SC 29210-5669

Phone: (803) 772-0403

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

100 Outlet Pointe Blvd

Columbia, SC 29210-5669

Registry dates

Enumerated: 2018-10-25
Last updated: 2018-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.