Tyson Drugs INC

NPI #1932104650 in Holly Springs, Mississippi

Provider Information

NPI Number
1932104650
Entity Type
Organization
Organization Name
Tyson Drugs INC
Subpart
Yes (part of a larger organization)
Parent Organization
TYSON DRUGS INC
Primary Specialty
Pharmacy
Enumeration Date
Jun 17, 2005
Last Updated
Jan 20, 2012

Practice Location

Address
530 J M ASH DR
ZIP Code
38635-3238
Phone
(662) 252-1011

Authorized Official

Name
MR. ROBERT HUDSON LOMENICK, RPH
Title
OWNER/ PHARMACIST
Phone
(662) 252-1011

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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