Organization
SIMS PHARMACY INC
Active
Other names
Southeastern Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY AKINS (VP SEC)
(770) 258-3366
Entity
Organization
Contact information
Practice address
301 W COLLEGE ST STE B, BOWDON, GA 30108-1309
(770) 258-3366
(770) 258-9840
Mailing address
301 W COLLEGE ST STE B, BOWDON, GA 30108-1309
(770) 258-3366
(770) 258-9840
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHRE009780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2134597
PK
—
Enumeration date
08/08/2011
Last updated
04/19/2021
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