# DISMUKESRX LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DISMUKESRX, LLC
- **Other names:** Dismukes Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013657626
- **Legal business name:** DISMUKESRX, LLC
- **Authorized official:** CATHY ALLEN (MANAGING MEMBER)
- **Authorized official phone:** (325) 214-2087

## Contact information

- **Practice address:** 511 E DAVIS ST, LULING, TX 78648-2317
- **Practice address phone:** (830) 875-2811
- **Mailing address:** PO BOX 1011, COLEMAN, TX 76834-1011
- **Mailing address phone:** (325) 518-8888
- **Mailing address fax:** (325) 219-5286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/31/2022
- **Last updated:** 05/25/2022