Dixie City Pharmacy # 4

LBN: Mimbs Drug Co.
Dixie City Pharmacy # 4 is an health care organization with primary practice located at 4251-H Winder Hwy , Flowery Branch GA 30542-4623. 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) 965-9101, or through Mimbs, Eddie H via phone (770) 965-9101.

Contact Information

Primary practice address
4251-H Winder Hwy Flowery Branch GA 30542-4623
Phone: (770) 965-9101
Fax: (770) 965-9658
Website:
Map and Directions
Authorized official contact:
Name: Mimbs, Eddie H RPH
Phone: (770) 965-9101

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE008007 Georgia

Profile Details

NPI number 1639156219
LBN Legal business name Mimbs Drug Co.
DBA Doing business as Dixie City Pharmacy # 4
Authorized official Mimbs, Eddie H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2005
Last updated Mar 7th, 2023 - about 3 years 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 1639156219 NPPES
Guam Other PHRE008007 STATE LISC NUMBER
Guam Other 1142998 STATE LISC NUMBER
Guam MEDICAID 00714887A STATE LISC NUMBER

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