Individual
MR. EDDIE H MIMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1077 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-6103
(770) 536-3329
(770) 536-0462
Mailing address
1077 JESSE JEWELL PKWY SW, GAINESVILLE, GA 30501-6103
(770) 536-3329
(770) 536-0462
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH009252
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH009252
STATE LISC
GA
Enumeration date
11/07/2006
Last updated
07/08/2007
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