Individual
DR. ADRIAN MIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7235 E 96TH ST, INDIANAPOLIS, IN 46250-3308
(317) 585-9387
Mailing address
12455 TEACUP WAY, INDIANAPOLIS, IN 46235-6121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024165A
IN
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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