Theophlous A Sims JR.

NPI #1578167128 in Burleson, Texas

Provider Information

NPI Number: 1578167128
Entity Type: Individual
Name: Theophlous A Sims JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 24, 2020
Last Updated: Nov 24, 2020

Practice Location

Address: 100 SW WILSHIRE BLVD
City: Burleson
State: Texas
ZIP Code: 76028-4712
Phone: (817) 295-1125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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