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Organization
CLARK'S TENNESSEE PHARMACY LLC
Active
Organization
CLARK'S TENNESSEE PHARMACY LLC
Active
Other names
Big Country Dermatology Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CODY CLARK PHARMD (CEO)
(806) 773-5958
Entity
Organization
Contact information
Practice address
1229 RESERVE BLVD STE 100, SPRING HILL, TN 37174-3273
(931) 487-1700
(931) 487-1720
Mailing address
1229 RESERVE BLVD STE 100A, SPRING HILL, TN 37174-3273
(806) 451-4799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
04/02/2024
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