Provider Demographics
NPI:1962799569
Name:WHICKER, ANDREW M (RPH)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:M
Last Name:WHICKER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 VERNON L THARP ST
Mailing Address - Street 2:ROOM 1141
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-4007
Mailing Address - Country:US
Mailing Address - Phone:614-292-1010
Mailing Address - Fax:
Practice Address - Street 1:601 VERNON L THARP ST
Practice Address - Street 2:ROOM 1141
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-4007
Practice Address - Country:US
Practice Address - Phone:614-292-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-02
Last Update Date:2011-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03312909183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist