Organization
ZIMM PHARMACY INC
Active
Other names
ZIMM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ZIMM BS (PHARMACIST AND OWNER)
(304) 574-4100
Entity
Organization
Contact information
Practice address
239 N COURT ST, FAYETTEVILLE, WV 25840-1233
(304) 574-4100
(304) 574-4103
Mailing address
239 N COURT ST, FAYETTEVILLE, WV 25840-1233
(304) 574-4100
(304) 574-4103
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP0550650
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111395
PK
—
05
—
8500068000
—
WV
Enumeration date
11/21/2006
Last updated
03/10/2015
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