<Unavail>
LBN: Tyson Drugs Inc
<Unavail> is an health care organization with primary practice located at 530 J M Ash Dr , Holly Springs MS 38635-3238. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Tyson Drugs Inc can be contacted via phone (662) 252-1011, or through Lomenick, Robert Hudson via phone (662) 252-1011.
Contact Information
Primary practice address
530 J M Ash Dr
Holly Springs MS 38635-3238
Phone: (662) 252-1011
Fax: (662) 252-1189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | 0432/01.1 | Mississippi |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | F04232 | Mississippi |
Profile Details
| NPI number | 1932104650 |
|---|---|
| LBN Legal business name | Tyson Drugs Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Lomenick, Robert Hudson RPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 20th, 2012 - about 14 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 | 1932104650 | NPPES |
| Other | 2519354 | NCPDP | |
| MEDICAID | 00330425 | NCPDP |
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