NPI Provider: 1972508695
Contact Name: Lomenick Hudson Robert
Position: Owner/pharmacist
Phone: (662) 252-2321
Tyson Drug Company, Inc. Information:
Tyson Drug Company, Inc. organization have npi 1972508695, taxonomy code is 333600000X with license number is 00500/01.1 in . This Business address located in 145 E Van Dorn Ave, Holly Springs, MS 38635 Mississippi.
Practice Location
Address: 145 E Van Dorn Ave, Holly Springs, MS 38635
Phone: (662) 252-2321
Business Location
Address: 145 E Van Dorn Ave, Holly Springs, MS 38635
Phone: (662) 252-2321
Fax: (662) 252-1656
Taxonomy
Taxonomy Code: 333600000X
License Number: 00500/01.1
License Number of State: MS
Primary Taxonomy Switch: Y
Enumeration Date: 6/17/2005
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