# DERMATOLOGY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DERMATOLOGY CENTER, LLC
- **Other names:** Gulf South Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457803421
- **Legal business name:** DERMATOLOGY CENTER, LLC
- **Authorized official:** BILL BUTLER (CEO)
- **Authorized official phone:** (615) 416-3270

## Contact information

- **Practice address:** 111 VETERANS BLVD, SUITE 406A, METAIRIE, LA 70005-3028
- **Practice address phone:** (504) 336-2400
- **Practice address fax:** (504) 437-1634
- **Mailing address:** 1620 W NORTHWEST HWY, SUITE \#100, GRAPEVINE, TX 76051-3177
- **Mailing address phone:** (817) 572-0009
- **Mailing address fax:** (817) 572-0221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY.007385 | LA | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/27/2025