Tyson Drugs Inc, NPI 1932104650
Pharmacy in Holly Springs, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1932104650
NPI Entity Type Organization
Provider Name Tyson Drugs Inc
Doing Business As
Subpart of Organization Tyson Drugs Inc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 530 J M Ash Dr, Holly Springs, MS, US
Provider Mailing Address 530 J M Ash Dr, Holly Springs, MS, US, 386353238
Is Sole Proprietor? No
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Organization Official

Official Name MR. RPH Robert Hudson Lomenick
Official Position OWNER/ PHARMACIST
Phone 662-252-1011

Primary Taxonomy

Taxonomy Code

333600000X

Taxonomy Name Pharmacy
Classification

Pharmacy

Group

Suppliers

License No. 0432/01.1
License State MS
Description 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.

Other Organization Name

Tysons Medical Center Pharmacy
Doing Business As

Business Address

Tyson Drugs Inc
530 J M Ash Dr

Holly Springs, MS, US

Phone: 662-252-1011
Fax: 662-252-1189

Mailing Address

Tyson Drugs Inc
530 J M Ash Dr
Holly Springs, MS, US
ZIP 386353238
Phone: 662-252-1011
Fax: 662-252-1189

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

No

3336C0003X

Suppliers

Pharmacy

F04232 MS No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
2519354 NCPDP 01
00330425 MS MEDICAID 05

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