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Organization
DOGWOOD PHARMACY LTC
Active
Organization
DOGWOOD PHARMACY LTC
Active
Parent organization
DOGWOOD PHARMACY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DOGWOOD PHARMACY LLC
Authorized official
LAURA EUGENA TYSON (PHARMACIST/OWNER)
(229) 316-8200
Entity
Organization
Contact information
Practice address
1909 US HIGHWAY 82 W STE 11, TIFTON, GA 31793-8213
(229) 256-2411
(229) 256-2488
Mailing address
1909 US HIGHWAY 82 W STE 11, TIFTON, GA 31793-8213
(229) 256-2411
(229) 256-2488
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
03/14/2019
Last updated
04/04/2019
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