NPI | 1972508695 |
---|---|
Doing Business As | TYSON DRUGS INC |
Entity Type | Organization |
Authorized Contact | ROBERT LOMENICK Owner 662-252-2321 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MS 00500/1.1) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2005-06-17 |
Last Update Date | 2015-01-07 |