Big Country Dermatology Pharmacy

LBN: Clark'S Specialty Pharmacy
Big Country Dermatology Pharmacy is an health care organization with primary practice located at 17 Windmill Cir Ste B , Abilene TX 79606-5234. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Clark'S Specialty Pharmacy can be contacted via phone (325) 704-5222, or through Clark, Cody via phone (806) 773-5958.

Contact Information

Primary practice address
17 Windmill Cir Ste B Abilene TX 79606-5234
Phone: (325) 704-5222
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, Cody
Phone: (806) 773-5958

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 30242 Texas
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1497125959
LBN Legal business name Clark'S Specialty Pharmacy
DBA Doing business as Big Country Dermatology Pharmacy
Authorized official Clark, Cody
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2015
Last updated Apr 2nd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497125959 NPPES
Other 2153704 PK

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