DR. Nicholas Mimmack, PHARMD

NPI #1487243523 in Bayfield, Colorado

Provider Information

NPI Number: 1487243523
Entity Type: Individual
Name: DR. Nicholas Mimmack, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 13, 2021
Last Updated: Jan 13, 2021

Practice Location

Address: 871 COUNTY ROAD 501
City: Bayfield
State: Colorado
ZIP Code: 81122-9462
Phone: (970) 884-9133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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