STATE OF DADE LLC NPI 1770188849

NPI Information

  • NPI: 1770188849
  • Provider Name: STATE OF DADE, LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 11D2251018
  • Address: 4626 BATTLEFIELD PARKWAY
    RINGGOLD, GA
    ZIP 30736
  • Phone: (706) 841-0444

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NPI Details

STATE OF DADE, LLC is a community/retail pharmacy pharmacy in Ringgold, GA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. STATE OF DADE, LLC NPI is 1770188849. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4626 BATTLEFIELD PARKWAY
RINGGOLD, GA
ZIP 30736
Phone: (706) 841-0444
Fax: (706) 841-0442

The provider's authorized official is Dustin Beard .
The authorized official title is Owner and has the following contact phone number (423) 718-8521.

The CLIA number assigned to this NPI record is 11D2251018 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2020 and was last updated on 6/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1003243037AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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