# MCCOY-TYGART DRUG STORE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346876018
- **Authorized official:** DONALD LOUIS HEDDEN PD (OWNER)
- **Authorized official phone:** (870) 942-5121

## Contact information

- **Practice address:** 821 N ROCK ST, SHERIDAN, AR 72150-7623
- **Practice address phone:** (870) 942-5121
- **Practice address fax:** (870) 942-2592
- **Mailing address:** PO BOX 217, SHERIDAN, AR 72150-0217
- **Mailing address phone:** (870) 942-5121
- **Mailing address fax:** (870) 942-2592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2020
- **Last updated:** 03/13/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100377407 | — | AR |