<Unavail>

LBN: Mullins Pharmacy
<Unavail> is an health care organization with primary practice located at 24 Alicia Ln Ste 2 , Dahlonega GA 30533-1637. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mullins Pharmacy can be contacted via phone (706) 867-0514, or through Mullins, Eric via phone (706) 867-0514.

Contact Information

Primary practice address
24 Alicia Ln Ste 2 Dahlonega GA 30533-1637
Phone: (706) 867-0514
Fax: (706) 867-0533
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Eric
Phone: (706) 867-0514

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009904 Georgia
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1396085437
LBN Legal business name Mullins Pharmacy
DBA Doing business as <Unavail>
Authorized official Mullins, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2013
Last updated Feb 17th, 2020 - about 6 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 1396085437 NPPES
Georgia MEDICAID 003133078A
Georgia Other 2139282

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