| NPI | 1417729534 |
|---|---|
| Doing Business As | DORMINY MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PAIGE WYNN CEO 229-424-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |