Tyson Drugs Inc
LBN: Tyson Drugs Inc
Tyson Drugs Inc is an health care organization with primary practice located at 145 E Van Dorn Ave , Holly Springs MS 38635-3025. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Tyson Drugs Inc can be contacted via phone (662) 252-2321, or through Lomenick, Robert via phone (662) 252-2321.
Contact Information
Primary practice address
145 E Van Dorn Ave
Holly Springs MS 38635-3025
Phone: (662) 252-2321
Fax: (662) 252-1656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 00500/1.1 | Mississippi |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1972508695 |
|---|---|
| LBN Legal business name | Tyson Drugs Inc |
| DBA Doing business as | Tyson Drugs Inc |
| Authorized official | Lomenick, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 7th, 2015 - about 9 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 | 1972508695 | NPPES |
| Mississippi | MEDICAID | 0034797 | |
| Mississippi | Other | 2043239 |
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