Provider Demographics
NPI:1427189810
Name:SIMS, LORI MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:MICHELLE
Last Name:SIMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 BOWDEN DR
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-6424
Mailing Address - Country:US
Mailing Address - Phone:812-385-6610
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 227
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-9738
Practice Address - Country:US
Practice Address - Phone:812-387-4000
Practice Address - Fax:812-387-4001
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26021459A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist