Tyson Drugs Inc
Pharmacy
530 J M Ash Dr, Holly Springs
Mississippi, 38635-3238
662-252-1011 662-252-1189
Tyson Drugs Inc is a Pharmacy in Holly Springs, Mississippi. This organization is also known as sub part of Tyson Drugs Inc. It is located at 530 J M Ash Dr, Holly Springs and it's customer support contact number is 662-252-1011. The authorized person of Tyson Drugs Inc is Mr. Robert Hudson Lomenick, RPH who is Owner/ Pharmacist of the pharmacy and his contact number is 662-252-1011. Active license number of Tyson Drugs Inc is 0432/01.1 for Pharmacy in Mississippi. Tyson Drugs Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Tyson Drugs Inc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Tyson Drugs Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tyson Drugs Inc |
| Type: | Pharmacy |
| Location: | 530 J M Ash Dr, Holly Springs,
Mississippi, 38635-3238 |
| Phone: | 662-252-1011 |
| Fax: | 662-252-1189 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Robert Hudson Lomenick |
| Credentials: | RPH |
| Position: | Owner/ Pharmacist |
| Contact Number: | 662-252-1011 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1932104650 |
| Parent Organization: | Tyson Drugs Inc |
| NPI Enumeration Date: | 17 Jun, 2005 |
| NPI Last Update On: | 20 Jan, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tyson Drugs Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | 0432/01.1 | Mississippi | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Community/Retail Pharmacy | F04232 | Mississippi | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2519354 | Other | | Ncpdp |
| 00330425 | Medicaid | Mississippi | |
Medicare Enrollment:
Tyson Drugs Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5991977563 | O20131123000063 | Tyson Drugs Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 530 J M Ash Dr,
Holly Springs, Mississippi |
| Zip: | 38635-3238 |
| Phone Number: | 662-252-1011 |
| Fax Number: | 662-252-1189 |
Patients can reach Tyson Drugs Inc at
530 J M Ash Dr, Holly Springs, Mississippi or can
call on customer care at 662-252-1011.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.