TYSON DRUGS INC NPI 1932104650

NPI Information

TYSON DRUGS INC is a pharmacy in Holly Springs, MS. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. TYSON DRUGS INC NPI is 1932104650. The provider is registered as an organization entity type.
The provider Is Doing Business As Tysons Medical Center Pharmacy.

The provider's business location address is:

530 J M ASH DR
HOLLY SPRINGS, MS
ZIP 38635-238
Phone: (662) 252-1011
Fax: (662) 252-1189

The provider's authorized official is Robert Hudson Lomenick .
The authorized official title is Owner/ Pharmacist and has the following contact phone number (662) 252-1011.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 1/20/2012.

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:

Other Identifiers

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

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