# TIN RX 809 INC

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

## Provider details

- **NPI number:** 1780189811
- **Authorized official:** SYLVIA LIND (PRESIDENT)
- **Authorized official phone:** (601) 588-2490

## Contact information

- **Practice address:** 2657 LAKELAND DRIVE, FLOWOOD, MS 39232
- **Practice address phone:** (601) 588-2490
- **Practice address fax:** (601) 588-2491
- **Mailing address:** PO BOX 640, BRASELTON, GA 30517-0011
- **Mailing address phone:** (601) 588-2490
- **Mailing address fax:** (601) 588-2491

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | MS | Yes |

## Other

- **Enumeration date:** 03/29/2018
- **Last updated:** 10/10/2024