| NPI | 1497125959 |
|---|---|
| Doing Business As | BIG COUNTRY DERMATOLOGY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CODY CLARK Manager 806-773-5958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 30242) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2024-04-02 |