IndividualActive
Amanda Hicks
NPI 1629348594 · Pharmacist · Atlantic, IA
Provider details
- NPI number
- 1629348594
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20681 (IA)
Practice location
507 Chestnut St
Atlantic, IA 50022-1249
Phone: (712) 243-2125
Fax: (712) 243-2209
Mailing address
507 Chestnut St
Atlantic, IA 50022-1249
Registry dates
- Enumerated
- 2012-01-09
- Last updated
- 2016-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.