Individual
MRS. BONNIE STOGNER MIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
950 W FARIS RD, SHRINERS HOSPITALS FOR CHILDREN, GREENVILLE, SC 29605-4255
(864) 255-7864
Mailing address
102 TERRAMONT DR, GREENVILLE, SC 29615-2759
(864) 244-8339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3413
SC
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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