Organization
GULF COAST DERMATOLOGY & SKIN CARE CENTRE
Active
Parent organization
GULF COAST DERMATOLOGY & SKIN CARE CENTRE
Other names
Advanced Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GULF COAST DERMATOLOGY & SKIN CARE CENTRE
Authorized official
DR. THOMAS BENDER M.D. (MANAGING OFFICER)
(251) 241-0071
Entity
Organization
Contact information
Practice address
580 PROVIDENCE PARK DR. EAST, SUITE 202, MOBILE, AL 36695
(251) 241-0071
(251) 202-9163
Mailing address
1620 W. NORTHWEST HIGHWAY, SUITE 100, GRAPEVINE, TX 76051
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
114611
AL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189226
—
AL
01
—
2159548
PK
—
Enumeration date
04/18/2016
Last updated
03/14/2025
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