Organization
DERMATOLOGY CENTER, LLC
Active
Parent organization
DERMATOLOGY CENTER, LLC
Other names
Gulf South Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY CENTER, LLC
Authorized official
BILL BUTLER (CEO)
(615) 416-3270
Entity
Organization
Contact information
Practice address
111 VETERANS BLVD, SUITE 406A, METAIRIE, LA 70005-3028
(504) 336-2400
(504) 437-1634
Mailing address
1620 W NORTHWEST HWY, SUITE #100, GRAPEVINE, TX 76051-3177
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY.007385
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165806
PK
—
Enumeration date
10/26/2016
Last updated
10/27/2025
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