Provider Demographics
NPI:1164854246
Name:HICKS, MEGAN RAE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:RAE
Last Name:HICKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MEGAN
Other - Middle Name:RAE
Other - Last Name:MCALPIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:102 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-5414
Mailing Address - Country:US
Mailing Address - Phone:731-641-6669
Mailing Address - Fax:
Practice Address - Street 1:102 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5414
Practice Address - Country:US
Practice Address - Phone:731-641-6669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist