Tyson Drug INC
NPI #1285639906 in Potts Camp, Mississippi
Provider Information
- NPI Number
- 1285639906
- Entity Type
- Organization
- Organization Name
- Tyson Drug INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jun 17, 2005
- Last Updated
- Feb 20, 2017
Practice Location
- Address
- 41 S CENTER ST
- City
- Potts Camp
- State
- Mississippi
- ZIP Code
- 38659-9531
- Phone
- (662) 333-7782
Authorized Official
- Name
- ROBERT LOMENICK
- Title
- OWNER
- Phone
- (662) 252-2321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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