| NPI | 1932104650 |
|---|---|
| Doing Business As | TYSONS MEDICAL CENTER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBERT HUDSON LOMENICK Owner/ Pharmacist 662-252-1011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MS 0432/01.1) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS F04232) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2012-01-20 |