Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS MIMMACK, PHARMD
ActiveDR. NICHOLAS MIMMACK, PHARMD is a Pharmacist healthcare provider located in BAYFIELD, Colorado. NPI 1487243523 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BAYFIELD, CO
Registration Details
- NPI Number
- 1487243523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2021 (5.4004257925974 yrs)
- Last Updated
- Jan 13, 2021
- License
-
21790 (CO)
Practice Information
- Address
-
871 COUNTY ROAD 501BAYFIELD, CO, 811229462Browse CO providers · Browse ZIP 81122
- Phone
- 9708849133
- Fax
- 9708840723
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BAYFIELD, CO
| Name | Credential | NPI |
|---|---|---|
| ANTHONY WAYNE SHURTS | R.PH. | 1689767725 |
| MS. MARY E O'DONNELL | RPH | 1437229457 |
| ANN REYNOLDS | RPH | 1194883173 |
| WILLIAM J CUSICK | — | 1407322613 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.