Organization
DOGWOOD PHARMACY LLC
Active
Other names
Dogwood Pharmacy and Gifts, Dogwood PHarmacy and Gift
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SCOTT TERRY RPH (SOLE OWNER)
(409) 283-7509
Entity
Organization
Contact information
Practice address
205 S MAGNOLIA ST, WOODVILLE, TX 75979-5234
(409) 283-7509
(409) 283-7395
Mailing address
205 S MAGNOLIA ST, WOODVILLE, TX 75979-5234
(409) 283-7509
(409) 283-7395
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
30042
TX
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147143
—
TX
01
—
2153503
PK
—
Enumeration date
08/18/2006
Last updated
02/20/2020
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