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Contact Information

DIXIE INDEPENDENT ENTERPRISES, LLC
7101 ETOWAH ST
ALTOONA, AL35952
 Phone: 205-589-6557
 Fax: 205-589-6553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for DIXIE INDEPENDENT ENTERPRISES, LLC

NPI # 1780024679
LBN Legal business name DIXIE INDEPENDENT ENTERPRISES, LLC
Authorized official GABRIEL ARGO - (OWER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/25/2013
Last updated 12/04/2020 - About 6 years ago
Identifiers
AL License # 101165
AL Medicaid 100001368
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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