Dixie City Pharmacy # 2

LBN: Mimbs Drug Co Dba Dixie City Pharmacy # 2
Dixie City Pharmacy # 2 is an health care organization with primary practice located at 4222 Mcever Rd , Oakwood GA 30566-2237. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Mimbs Drug Co Dba Dixie City Pharmacy # 2 can be contacted via phone (770) 536-1099, or through Mimbs, Eddie H via phone (770) 536-3329.

Contact Information

Primary practice address
4222 Mcever Rd Oakwood GA 30566-2237
Phone: (770) 536-1099
Fax: (770) 536-0577
Website:
Map and Directions
Authorized official contact:
Name: Mimbs, Eddie H RPH
Phone: (770) 536-3329

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE006004 Georgia

Profile Details

NPI number 1467439760
LBN Legal business name Mimbs Drug Co Dba Dixie City Pharmacy # 2
DBA Doing business as Dixie City Pharmacy # 2
Authorized official Mimbs, Eddie H RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2005
Last updated Mar 7th, 2023 - about 2 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 1467439760 NPPES
Georgia Other 1126867 NCPDP NUMBER
Georgia Other PHRE006004 NCPDP NUMBER
Georgia MEDICAID 00247937A NCPDP NUMBER

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