Tysons Medical Center Pharmacy

LBN: Tyson Drugs Inc
Tysons Medical Center Pharmacy 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:
Map and Directions
Authorized official contact:
Name: Lomenick, Robert Hudson RPH
Phone: (662) 252-1011

Health care specialties

SpecialtyCodeLicense #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 Tysons Medical Center Pharmacy
Authorized official Lomenick, Robert Hudson RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 17th, 2005
Last updated Jan 20th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932104650 NPPES
Other 2519354 NCPDP
MEDICAID 00330425 NCPDP

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