Individual
DR. JACQUELYN DENISE MIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
10019 TECUM RD, DOWNEY, CA 90240-3620
(562) 806-4557
(562) 806-3497
Mailing address
10019 TECUM RD, DOWNEY, CA 90240-3620
(562) 806-4557
(562) 806-3497
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH41575
CA
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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