Organization
CLARK'S TENNESSEE PHARMACY LLC
Active
Other names
Big Country Dermatology Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CODY CLARK PHARMD (CEO)
(806) 773-5958
Entity
Organization
Contact information
Practice address
1229 RESERVE BLVD STE 100, SPRING HILL, TN 37174-3273
(931) 487-1700
(931) 487-1720
Mailing address
1229 RESERVE BLVD STE 100A, SPRING HILL, TN 37174-3273
(806) 451-4799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
04/02/2024
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