Home » Georgia » 30566 » Mimbs Drug Co Dba Dixie City Pharmacy # 2

Mimbs Drug Co Dba Dixie City Pharmacy # 2

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.

physician-icon Basic Information

Practice Location 4222 Mcever Rd, Oakwood, GA 30566-2237, US
Practice Location Phone770-536-1099
Practice Location Fax770-536-0577
Legal Business NameMIMBS DRUG CO DBA DIXIE CITY PHARMACY # 2
Other Organization NameDIXIE CITY PHARMACY # 2
Other Organization Name TypeDoing Business As Name
NPI ?1467439760
Entity TypeOrganization
Enumeration Date ? Dec 28, 2005
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Mimbs Drug Co Dba Dixie City Pharmacy # 2

SpecialtySpecializationLicenseLicense State
Pharmacy PHRE006004Georgia

legacy-id-icon Legacy Provider IDs of Mimbs Drug Co Dba Dixie City Pharmacy # 2

Provider IdIssuer StateIssuer TypeIssuer
AD1768095GeorgiaOtherDEA NUMBER
PHRE006004GeorgiaOtherSTATE LISC #
00247937AGeorgiaMedicaid
1126867GeorgiaOtherNCPDP NUMBER

official-icon Authorized Official of Mimbs Drug Co Dba Dixie City Pharmacy # 2

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/PositionPRESIDENT
Authorized Official Phone Number770-536-3329