Mimbs Drug Co Dba Dixie City Pharmacy # 2 is a health care provider in Oakwood, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||4222 Mcever Rd, Oakwood, GA 30566-2237, US|
|Practice Location Phone||770-536-1099|
|Practice Location Fax||770-536-0577|
|Legal Business Name||MIMBS DRUG CO DBA DIXIE CITY PHARMACY # 2|
|Other Organization Name||DIXIE CITY PHARMACY # 2|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Dec 28, 2005|
|Last Update Date ?||Jul 9, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Provider Id||Issuer State||Issuer Type||Issuer|
|PHRE006004||Georgia||Other||STATE LISC #|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Mimbs Drug Co Dba Dixie City Pharmacy # 2's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Mr. Eddie H Mimbs (RPH)|
|Authorized Official Title/Position||PRESIDENT|
|Authorized Official Phone Number||770-536-3329|