Organization
DOGWOOD PHARMACY LLC
Active
Other names
DOGWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA TYSON RPH (OWNER PRES PIC)
(229) 686-2620
Entity
Organization
Contact information
Practice address
501 N DAVIS ST, NASHVILLE, GA 31639-1426
(229) 316-8200
(229) 686-2687
Mailing address
501 N DAVIS STREET, NASHVILLE, GA 31639
(229) 316-8200
(229) 686-2687
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE009035
GA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016291
PK
—
05
—
899038148A
—
GA
Enumeration date
06/19/2006
Last updated
09/19/2025
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