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NPI Code Detail

MEDICARE: DR. TIFFANY LYNN ZIMNY PHARM.D

MEDICARE:  DR. TIFFANY LYNN ZIMNY  PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS48570FL
2183500000XPharmacist059027NY

General Provider Information

NPI Number : 1295005528
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIFFANY LYNN ZIMNY PHARM.D
Provider Business Mailing Address
First Line : 2841 NICHOLS ST
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1909
Country : US
Telephone Number : 585-352-4020
Fax Number : 585-768-9562
Provider Business Practice Location Address
First Line : 2841 NICHOLS ST
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1909
Country : US
Telephone Number : 585-352-4020
Fax Number : 585-768-9562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2012
Last Update Date : 07/03/2020

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