Jacob William Mims, Pharm.D.
Pharmacist in Highland Village, TX. Individual provider (NPI-1).
NPI number1982206926
StatusActive
Last updated in NPPESNov 13, 2020
Details
- NPI
- 1982206926
- Entity type
- Individual (NPI-1)
- Name
- Jacob William Mims
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 13, 2020
- Certification date
- Nov 13, 2020
- Last updated
- Nov 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 61594 | TX | Yes |
Practice location
3060 Fm 407Highland Village, TX 75077-7047
Phone 972-317-1947 · Fax 972-317-8349
Mailing address
3060 Fm 407Highland Village, TX 75077-7047
Phone 972-317-1947 · Fax 972-317-8349
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