| NPI | 1194441493 |
|---|---|
| Doing Business As | TYSON DRUGS INC LTC |
| Entity Type | Organization |
| Authorized Contact | ROBERT H LOMENICK Owner 662-252-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-07-24 |