Duncan'S Pharmacy
LBN: Dyer Station Pharmacy, Llc
Duncan'S Pharmacy is an health care organization with primary practice located at 137 S Main St , Dyer TN 38330-1815. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Dyer Station Pharmacy, Llc can be contacted via phone (731) 692-3578, or through Holyfield, Derek via phone (731) 692-3578.
Contact Information
Primary practice address
137 S Main St
Dyer TN 38330-1815
Phone: (731) 692-3578
Fax: (731) 692-4219
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 2878 | Tennessee |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2878 | Tennessee |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1376526517 |
|---|---|
| LBN Legal business name | Dyer Station Pharmacy, Llc |
| DBA Doing business as | Duncan'S Pharmacy |
| Authorized official | Holyfield, Derek PHARM. D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Nov 13th, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376526517 | NPPES |
| Tennessee | MEDICAID | 1454681 |
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