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Organization
IV CARE INC
Active
Organization
IV CARE INC
Active
Other names
Tyson HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRI S. HEATON (OPERATIONS MANAGER)
(662) 252-6179
Entity
Organization
Contact information
Practice address
149 A SOUTH MARKET STREET, HOLLY SPRINGS, MS 38635-3238
(662) 252-3688
(662) 252-4379
Mailing address
530 JM ASH DRIVE, HOLLY SPRINGS, MS 38635
(662) 252-2446
(662) 252-4379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E06294
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
07543/11.1
MS
333600000X
Pharmacy
Primary
07543-11-1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03186562
—
MS
Enumeration date
01/02/2008
Last updated
03/25/2011
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