Dixie City Pharmacy # 5

LBN: Mimbs Drug Co.
Dixie City Pharmacy # 5 is an health care organization with primary practice located at 1079 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) 536-3108, or through Mimbs, Eddie H via phone (770) 536-3108.

Contact Information

Primary practice address
1079 Jesse Jewell Pkwy Sw Gainesville GA 30501-6103
Phone: (770) 536-3108
Fax: (770) 536-2357
Website:
Map and Directions
Authorized official contact:
Name: Mimbs, Eddie H RPH
Phone: (770) 536-3108

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 008642 Georgia

Profile Details

NPI number 1700863347
LBN Legal business name Mimbs Drug Co.
DBA Doing business as Dixie City Pharmacy # 5
Authorized official Mimbs, Eddie H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2005
Last updated Mar 7th, 2023 - about last year

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 1700863347 NPPES
Guam Other PHRE008642 STATE LISC NO
Guam Other 1150173 STATE LISC NO

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