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TYSON DRUGS INC NPI 1760880637


NPI Information

NPI: 1760880637
Provider Name: TYSON DRUGS INC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 25D2117895

Address:
145 E VAN DORN AVE
HOLLY SPRINGS, MS
ZIP 38635
Phone: (662) 252-2321
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TYSON DRUGS INC is a long term care pharmacy pharmacy in Holly Springs, MS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. TYSON DRUGS INC NPI is 1760880637. The provider is registered as an organization entity type.

The provider's business location address is:

145 E VAN DORN AVE
HOLLY SPRINGS, MS
ZIP 38635-025
Phone: (662) 252-2321
Fax: (662) 252-1656

The provider's authorized official is Robert H Lomenick .
The authorized official title is President and has the following contact phone number (662) 252-2321.

The CLIA number assigned to this NPI record is 25D2117895 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 1/7/2015.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyF0500MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12590013OTHERNCPDP
2F0500OTHERMISSISSIPPIPHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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