Tyro Family Pharmacy

LBN: Clemmons Family Pharmacy Llc
Tyro Family Pharmacy is an health care organization with primary practice located at 4320 S Nc Highway 150 , Lexington NC 27295-5161. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Clemmons Family Pharmacy Llc can be contacted via phone (336) 853-2744, or through Patterson, Russell Warren via phone (336) 853-2744.

Contact Information

Primary practice address
4320 S Nc Highway 150 Lexington NC 27295-5161
Fax: (336) 853-5915
Website:
Authorized official contact:
Name: Patterson, Russell Warren PHARM D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 10308 North Carolina
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1033343082
LBN Legal business name Clemmons Family Pharmacy Llc
DBA Doing business as Tyro Family Pharmacy
Authorized official Patterson, Russell Warren PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2009
Last updated Mar 14th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033343082 NPPES
North Carolina MEDICAID 1033343082

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