Individual
DEIDRE NIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
3820 SUE LN NW, CEDAR RAPIDS, IA 52405-4569
(319) 396-2054
Mailing address
3820 SUE LN NW, CEDAR RAPIDS, IA 52405-4569
(319) 396-2054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19221
IA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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