Individual
DR. AMY MARIE MIMMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
143 THIERMAN LN, ST MATTHEWS, KY 40207-5009
(502) 893-8110
(502) 893-8056
Mailing address
486 OAK TREE WAY, TAYLORSVILLE, KY 40071-7184
(501) 758-2744
(502) 893-8056
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
016218
KY
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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