Healthcare Provider Details

I. General information

NPI: 1841368677
Provider Name (Legal Business Name): DIMAX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 US HIGHWAY 64 EAST
HAYESVILLE NC
28904
US

IV. Provider business mailing address

PO BOX 1227
HAYESVILLE NC
28904-1227
US

V. Phone/Fax

Practice location:
  • Phone: 828-389-0550
  • Fax: 828-389-0548
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number6892
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DENA FERMAN
Title or Position: THIRD PARTY PLAN COORDINATOR
Credential:
Phone: 314-993-6000