Individual
DANIEL ROY MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
400 INTERSTATE PARK DR, SUITE 422, MONTGOMERY, AL 36109-5428
(334) 356-7627
(334) 356-7647
Mailing address
400 INTERSTATE PARK DR, SUITE 422, MONTGOMERY, AL 36109-5428
(334) 356-7627
(334) 356-7647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13854
AL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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