Provider Demographics
NPI:1538985973
Name:TIMS PHARMACY INC
Entity type:Organization
Organization Name:TIMS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:BASKIN
Authorized Official - Last Name:KAMINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:706-776-3784
Mailing Address - Street 1:130 MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:CORNELIA
Mailing Address - State:GA
Mailing Address - Zip Code:30531-2297
Mailing Address - Country:US
Mailing Address - Phone:706-776-3784
Mailing Address - Fax:706-776-3788
Practice Address - Street 1:130 MAGNOLIA LN
Practice Address - Street 2:
Practice Address - City:CORNELIA
Practice Address - State:GA
Practice Address - Zip Code:30531-2297
Practice Address - Country:US
Practice Address - Phone:706-776-3784
Practice Address - Fax:706-776-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-02
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy