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
—
—
Other
Enumeration date
03/14/2019
Last updated
04/04/2019
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