WILLIAMS TYLERTOWN PHARMACY LLC NPI 1639720717

NPI Details

WILLIAMS TYLERTOWN PHARMACY LLC is a community/retail pharmacy pharmacy in Tylertown, MS. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WILLIAMS TYLERTOWN PHARMACY LLC NPI is 1639720717. The provider is registered as an organization entity type.

The provider's business location address is:

201 HOSPITAL DR
TYLERTOWN, MS
ZIP 39667-019
Phone: (601) 222-1770
Fax: (601) 222-1772

The provider's authorized official is Matthew Williams .
The authorized official title is Owner and has the following contact phone number (985) 515-1524.

The CLIA number assigned to this NPI record is 25D0961487 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 9/20/2019 and was last updated on 8/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: