Provider Demographics
NPI:1144264854
Name:SIMMER, THOMAS FRANK (RPH)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:FRANK
Last Name:SIMMER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 HARDING AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-2235
Mailing Address - Country:US
Mailing Address - Phone:701-323-8606
Mailing Address - Fax:701-323-6988
Practice Address - Street 1:MEDCENTER ONE PHARMACY
Practice Address - Street 2:300 N 7TH ST BOX 5525
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58506-5525
Practice Address - Country:US
Practice Address - Phone:701-323-8606
Practice Address - Fax:701-323-6988
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND3434183500000X, 1835N1003X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy