Nicholas Mimmack, PHARMD

Pharmacist · Bayfield, CO

Individual Active NPI

NPI number 1487243523

Practice location

871 County Road 501
Bayfield, CO 81122-9462
Phone
(970) 884-9133
Fax
(970) 884-0723

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NPI record

NPI
1487243523
Entity type
Individual (Type 1)
Enumeration date
January 13, 2021
Last updated
January 13, 2021
Certified
January 13, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 21790 CO

Mailing address

PO Box 110
Bayfield, CO 81122-0110
Phone
(970) 884-9133
Fax
(970) 884-0723

About Dr. Mimmack

Nicholas Mimmack, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 871 County Road 501, Bayfield, CO 81122-9462. The NPI number 1487243523 was assigned on January 13, 2021 and the record was last updated on January 13, 2021.

Dr. Mimmack lists a license in the registry: #21790 (CO) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Mimmack, PHARMD?

The NPI number is 1487243523.

What is the phone number of Dr. Mimmack?

The phone number listed for the practice location is (970) 884-9133.

Where is Dr. Mimmack located?

871 County Road 501, Bayfield, CO 81122-9462.

What is the taxonomy code for Dr. Mimmack?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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