Provider Demographics
NPI:1598836926
Name:MIMS, BEVERLY C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:C
Last Name:MIMS
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:HOWARD UNIVERSITY SCHOOL OF PHARMACY
Mailing Address - Street 2:2300 FOURTH STREET, NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20059-0001
Mailing Address - Country:US
Mailing Address - Phone:202-806-7232
Mailing Address - Fax:202-806-4478
Practice Address - Street 1:HOWARD UNIVERSITY SCHOOL OF PHARMACY
Practice Address - Street 2:2300 FOURTH STREET, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-806-7232
Practice Address - Fax:202-806-4478
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2497183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist