Individual
CHARLES EDWARD MIMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
100 OLD CHEROKEE RD, LEXINGTON, SC 29072-9316
(803) 951-1727
(803) 808-2972
Mailing address
100 OLD CHEROKEE RD, LEXINGTON, SC 29072-9316
(803) 951-1727
(803) 808-2972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13977
SC
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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