Organization
BULLDOG PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOLLY RENEE RANDOLPH PHARMD, RPH (OWNER/PIC)
(903) 385-1122
Entity
Organization
Contact information
Practice address
115 N HOUSTON ST, EDGEWOOD, TX 75117-2502
(903) 385-1122
Mailing address
PO BOX 187, GRAND SALINE, TX 75140-0187
(903) 385-1122
(903) 385-1124
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
07/14/2021
Last updated
12/23/2021
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