# SOUTHWELL PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TIFT REGIONAL HEALTH SYSTEM, INC.
- **Other names:** Tift Regional Employee Pharmacy, Tift Regional Employee Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407911613
- **Legal business name:** TIFT REGIONAL HEALTH SYSTEM, INC.
- **Authorized official:** CHRISTOPHER KEITH DORMAN (CEO)
- **Authorized official phone:** (229) 382-7120

## Contact information

- **Practice address:** 1802 LEE AVENUE, TIFTON, GA 31794
- **Practice address phone:** (229) 353-6756
- **Practice address fax:** (229) 353-6531
- **Mailing address:** 1802 LEE AVENUE, TIFTON, GA 31794
- **Mailing address phone:** (229) 353-6756
- **Mailing address fax:** (229) 353-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/13/2025