# HMT DERMATOLOGY ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kwik-Fil Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942720016
- **Authorized official:** TAMMIE MISKIMINS (MANAGER, PHARMACY LICENSING/CONTRAC)
- **Authorized official phone:** (817) 572-0009

## Contact information

- **Practice address:** 5779 WOOSTER PIKE, SUITE A, MEDINA, OH 44256-8816
- **Practice address phone:** (888) 245-5590
- **Practice address fax:** (888) 245-5650
- **Mailing address:** 1620 W. NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051
- **Mailing address phone:** (817) 572-0009
- **Mailing address fax:** (817) 720-1039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PMY.02748400-03 | OH | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 06/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2169958 | PK | — |