NPI | 1528581402 |
---|---|
Doing Business As | DOGWOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | LAURA EUGENA TYSON President/Owner/Pharmacist 229-686-2620 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE010367) |
Enumeration Date | 2017-07-21 |
Last Update Date | 2017-07-21 |