<Unavail>

LBN: Southwell Pharmacy
<Unavail> is an health care organization with primary practice located at 1802 Lee Avenue , Tifton GA 31794. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Southwell Pharmacy can be contacted via phone (229) 353-6756, or through Dorman, Christopher Keith via phone (229) 382-7120.

Contact Information

Primary practice address
1802 Lee Avenue Tifton GA 31794
Phone: (229) 353-6756
Fax: (229) 353-6531
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Christopher Keith
Phone: (229) 382-7120

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1407911613
LBN Legal business name Southwell Pharmacy
DBA Doing business as <Unavail>
Authorized official Dorman, Christopher Keith
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 27th, 2006
Last updated Aug 13th, 2025 - about last year

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 1407911613 NPPES
Georgia Other PHRE010721 LICENSE
Georgia Other 1117539 LICENSE

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