# STATE OF DADE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770188849
- **Authorized official:** DUSTIN BEARD PHARM D. (OWNER)
- **Authorized official phone:** (423) 718-8521

## Contact information

- **Practice address:** 4626 BATTLEFIELD PARKWAY, RINGGOLD, GA 30736
- **Practice address phone:** (706) 841-0444
- **Practice address fax:** (706) 841-0442
- **Mailing address:** 578 CLASSIC TRL, RINGGOLD, GA 30736-5895
- **Mailing address phone:** (423) 718-8521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2020
- **Last updated:** 06/24/2025