Organization
MIMBS DRUG CO.
Active
Other names
J & J Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE H MIMBS RPH (PRESIDENT)
(770) 536-1987
Entity
Organization
Contact information
Practice address
2500 LIMESTONE PKWY, GAINESVILLE, GA 30501-2089
(770) 536-1897
(770) 535-1470
Mailing address
2500 LIMESTONE PKWY, GAINESVILLE, GA 30501-2089
(770) 536-1897
(770) 535-1470
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE007894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153458
NCPDP
GA
01
—
PHRE007894
STATE LISC NO
GA
Enumeration date
12/26/2005
Last updated
03/07/2023
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