National Provider Identifier Database

DORMINY MEDICAL CENTER
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

DORMINY MEDICAL CENTER
200 PERRY HOUSE RD
FITZGERALD, GA31750-8857
Phone: 229-424-7112
Fax: 229-424-7200
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for DORMINY MEDICAL CENTER

NPI Number 1477697134
Legal business name
LBN
DORMINY MEDICAL CENTER
Authorized official ARTHUR HILL - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 09/14/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: PHH007798
  • Other: 2013736 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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