# DYER DRUG STORE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417436387
- **Authorized official:** STACY EVANS HICKMAN (TREASURER)
- **Authorized official phone:** (972) 782-6262

## Contact information

- **Practice address:** 133 MCKINNEY ST, FARMERSVILLE, TX 75442-2221
- **Practice address phone:** (972) 782-6262
- **Practice address fax:** (972) 782-7870
- **Mailing address:** 133 MCKINNEY ST, FARMERSVILLE, TX 75442-2221
- **Mailing address phone:** (972) 782-6262
- **Mailing address fax:** (972) 782-7870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | 13006 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2018
- **Last updated:** 10/28/2020