Organization
MIMBS DRUG CO DBA DIXIE CITY PHARMACY # 2
Active
Other names
Dixie City Pharmacy # 2
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE H MIMBS RPH (PRESIDENT)
(770) 536-3329
Entity
Organization
Contact information
Practice address
4222 MCEVER RD, OAKWOOD, GA 30566-2237
(770) 536-1099
(770) 536-0577
Mailing address
4222 MCEVER RD, OAKWOOD, GA 30566-2237
(770) 536-1099
(770) 536-0577
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE006004
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00247937A
—
GA
01
—
1126867
NCPDP NUMBER
GA
01
—
PHRE006004
STATE LISC #
GA
Enumeration date
12/28/2005
Last updated
03/07/2023
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