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MRS. WENDY ANN DORMINEY PHARM D CDM

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1235222415

Individual Registrant:
MRS. WENDY ANN DORMINEY PHARM D CDM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1016 LAKES BLVD  LAKE PARK, GA 31636 US
Tel: 229-559-9398  Fax: 229-559-9408

Contact information for business:
5409 FRANCIS DR  LAKE PARK, GA 31636 US
Tel: 229-559-1318  Fax: 229-559-9408

Registration Information:
NPI: 1235222415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH020837

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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