<Unavail>

LBN: Dogwood Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 1909 Us Highway 82 W Ste 11 , Tifton GA 31793-8213. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Dogwood Pharmacy Llc can be contacted via phone (229) 256-2411, or through Tyson, Laura Eugena via phone (229) 686-2620.

Contact Information

Primary practice address
1909 Us Highway 82 W Ste 11 Tifton GA 31793-8213
Phone: (229) 256-2411
Fax: (229) 256-2488
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Laura Eugena PHARMD
Phone: (229) 686-2620

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE010367 Georgia

Profile Details

NPI number 1528581402
LBN Legal business name Dogwood Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Tyson, Laura Eugena PHARMD
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2017
Last updated Jul 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528581402 NPPES
Georgia Other PHRE010367 STATE RETAIL PHARMACY LICENSE

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