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NPI Code Detail

MEDICARE: KIMBERLY ANN AMES PHARMD

MEDICARE: KIMBERLY ANN AMES PHARMD
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
1183500000XPharmacist119696MN

General Provider Information

NPI Number : 1548491160
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN AMES PHARMD
Provider Business Mailing Address
First Line : 39273 LONE LAKE RD
Second Line :
City : BAGLEY
State : MN
Zip : 56621-4413
Country : US
Telephone Number : 218-230-9881
Fax Number : 218-759-0859
Provider Business Practice Location Address
First Line : 217 PAUL BUNYAN DR NW
Second Line :
City : BEMIDJI
State : MN
Zip : 56601-2433
Country : US
Telephone Number : 218-759-1222
Fax Number : 218-759-0859
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2009
Last Update Date : 07/30/2009

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Directions to “ KIMBERLY ANN AMES PHARMD” Practice Location

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