Mccoy, Nimi

Mccoy, Nimi is an individual health care provider with primary practice located at 14829 7Th St Suite E, Victorville CA 92395-4009. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Mccoy, Nimi can be contacted via phone (760) 245-3518.

Contact Information

Primary practice address
14829 7Th St Suite E Victorville CA 92395-4009
Phone: (760) 245-3518
Fax: (760) 245-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 42106 California

Profile Details

NPI number 1689730921
LBN Legal business name Mccoy, Nimi
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689730921 NPPES
California MEDICAID 4864800001

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