Provider Demographics
NPI:1528373925
Name:RICKS, RENEE D (RPH)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:D
Last Name:RICKS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HWY 64 W
Mailing Address - Street 2:
Mailing Address - City:HAYESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28904-9655
Mailing Address - Country:US
Mailing Address - Phone:828-389-6343
Mailing Address - Fax:828-389-9460
Practice Address - Street 1:44 HWY 64 W
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28904-9655
Practice Address - Country:US
Practice Address - Phone:828-389-6343
Practice Address - Fax:828-389-9460
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25755183500000X
GARPH028989183500000X
LA14731183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist