Individual
KIMBERLY CHRISTINE NIMMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1100 GRANADA AVE, CASPER, WY 82601-5933
(307) 265-8627
Mailing address
1100 GRANADA AVE, CASPER, WY 82601-5933
(307) 265-8627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2708
WY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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