Mimc Specialty And Home Infusion Pharmacy

LBN: Mobile Infirmary Association
Mimc Specialty And Home Infusion Pharmacy is an health care organization with primary practice located at 7101 Us Highway 90 Building B, Suite B100, Daphne AL 36526-9512. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Mobile Infirmary Association can be contacted via phone (251) 625-8445, or through Nix, Douglas Mark via phone (251) 625-8454.

Contact Information

Primary practice address
7101 Us Highway 90 Building B, Suite B100 Daphne AL 36526-9512
Phone: (251) 625-8445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nix, Douglas Mark
Phone: (251) 625-8454

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1710698717
LBN Legal business name Mobile Infirmary Association
DBA Doing business as Mimc Specialty And Home Infusion Pharmacy
Authorized official Nix, Douglas Mark
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2022
Last updated Mar 18th, 2024 - about 6 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 1710698717 NPPES
Alabama MEDICAID 302591

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