Desak G Hicks
Community/Retail Pharmacy
873 Highway 84, Coffeeville
Alabama, 36524-5012
251-276-3400 251-276-3562
Desak G Hicks is a Community/Retail Pharmacy in Coffeeville, Alabama. It is located at 873 Highway 84, Coffeeville and it's customer support contact number is 251-276-3400. The authorized person of Desak G Hicks is Mr. Desak George Hicks who is Owner/pharmacist of the pharmacy and his contact number is 251-276-3400. Active license number of Desak G Hicks is 110452 for Community/Retail Pharmacy in Alabama. Desak G Hicks accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Desak G Hicks is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Desak G Hicks type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Desak G Hicks |
| Type: | Community/Retail Pharmacy |
| Location: | 873 Highway 84, Coffeeville,
Alabama, 36524-5012 |
| Phone: | 251-276-3400 |
| Fax: | 251-276-3562 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Desak George Hicks |
| Position: | Owner/pharmacist |
| Contact Number: | 251-276-3400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1134182827 |
| NPI Enumeration Date: | 11 Apr, 2006 |
| NPI Last Update On: | 21 Mar, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Desak G Hicks are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 110452 | Alabama | Primary | |
| Compounding Pharmacy | 110452 | Alabama | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100001132 | Medicaid | Alabama | |
| 0105672 | Other | | Ncpdp Number |
Medicare Enrollment:
Desak G Hicks is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547337503 | O20080917000718 | Desak G Hicks | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 873 Highway 84,
Coffeeville, Alabama |
| Zip: | 36524-5012 |
| Phone Number: | 251-276-3400 |
| Fax Number: | 251-276-3562 |
Patients can reach Desak G Hicks at
873 Highway 84, Coffeeville, Alabama or can
call on customer care at 251-276-3400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.