Mim, Ny

Mim, Ny is an individual health care provider with primary practice located at 2100 Standiford Ave , Modesto CA 95350-6522. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mim, Ny can be contacted via phone (209) 577-1350.

Contact Information

Primary practice address
2100 Standiford Ave Modesto CA 95350-6522
Fax: (209) 577-1409
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 48317 California

Profile Details

NPI number 1689651309
LBN Legal business name Mim, Ny
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Aug 14th, 2007 - about 18 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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