# DOGWOOD PHARMACY LLC

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

## Provider details

- **NPI number:** 1811523657
- **Authorized official:** JEFFREY SCOTT TERRY RPH (SOLE OWNER)
- **Authorized official phone:** (409) 283-7509

## Contact information

- **Practice address:** 205 S MAGNOLIA ST, WOODVILLE, TX 75979-5234
- **Practice address phone:** (409) 283-7509
- **Practice address fax:** (409) 283-7395
- **Mailing address:** 205 S MAGNOLIA ST, WOODVILLE, TX 75979-5234
- **Mailing address phone:** (409) 283-7509
- **Mailing address fax:** (409) 283-7395

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2020
- **Last updated:** 03/12/2020