Dixie City Pharmacy 1

LBN: Mimbs Drug Co
Dixie City Pharmacy 1 is an health care organization with primary practice located at 1077 Jesse Jewell Pkwy Sw , Gainesville GA 30501-6103. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Mimbs Drug Co can be contacted via phone (770) 536-3329, or through Mimbs, Eddie H via phone (770) 536-3329.

Contact Information

Primary practice address
1077 Jesse Jewell Pkwy Sw Gainesville GA 30501-6103
Phone: (770) 536-3329
Fax: (770) 536-0462
Website:
Map and Directions
Authorized official contact:
Name: Mimbs, Eddie H RPH
Phone: (770) 536-3329

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE003427 Georgia

Profile Details

NPI number 1538140769
LBN Legal business name Mimbs Drug Co
DBA Doing business as Dixie City Pharmacy 1
Authorized official Mimbs, Eddie H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2005
Last updated Mar 7th, 2023 - about 7 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140769 NPPES
Georgia MEDICAID 00025891B
Georgia MEDICAID 00025891A
Georgia Other PHRE003427
Georgia Other 1102689

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