Individual provider · Type 1 NPI

Ny Mim, PHARM D

Pharmacist · Modesto, CA

NPI number 1689651309 Active

Practice location

2100 Standiford Ave
Modesto, CA 95350-6522

Call (209) 577-1350 Map

Fax (209) 577-1409

Mailing address

4000 Bella Tuscany Dr
Modesto, CA 95356-9339

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X48317 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1689651309

Ny Mim, PHARM D's National Provider Identifier is 1689651309, issued on Dec 22, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Modesto, CA. The record was last updated on Aug 14, 2007.