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NPI Code Detail

MEDICARE: CASSADY SIMS

MEDICARE: CASSADY SIMS
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
1183500000XPharmacist18192AL

General Provider Information

NPI Number : 1619588258
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSADY SIMS
Provider Business Mailing Address
First Line : 5301 SUMMERVILLE RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-7423
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5301 SUMMERVILLE RD
Second Line :
City : PHENIX CITY
State : AL
Zip : 36867-7423
Country : US
Telephone Number : 334-297-3061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2020
Last Update Date : 08/16/2020

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Directions to “ CASSADY SIMS ” Practice Location

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