# SIMS PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeastern Long Term Care Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689953689
- **Authorized official:** KENNY AKINS (VP SEC)
- **Authorized official phone:** (770) 258-3366

## Contact information

- **Practice address:** 301 W COLLEGE ST STE B, BOWDON, GA 30108-1309
- **Practice address phone:** (770) 258-3366
- **Practice address fax:** (770) 258-9840
- **Mailing address:** 301 W COLLEGE ST STE B, BOWDON, GA 30108-1309
- **Mailing address phone:** (770) 258-3366
- **Mailing address fax:** (770) 258-9840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHRE009780 | GA | Yes |

## Other

- **Enumeration date:** 08/08/2011
- **Last updated:** 04/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2134597 | PK | — |