Provider Demographics
NPI:1548808645
Name:SIMS, LAURA HOPE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:HOPE
Last Name:SIMS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 E MAIN ST STE B3
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:MS
Mailing Address - Zip Code:39350-2330
Mailing Address - Country:US
Mailing Address - Phone:601-656-2272
Mailing Address - Fax:
Practice Address - Street 1:584 E MAIN ST STE B3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:MS
Practice Address - Zip Code:39350-2330
Practice Address - Country:US
Practice Address - Phone:601-656-2272
Practice Address - Fax:601-650-9040
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE-09744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist