Organization
MCCOY-TYGART DRUG STORE INC
Active
Other names
McCoy Tygart Drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A TYGART P.D. (PHARMACIST,CORP.OFCER.)
(870) 942-5121
Entity
Organization
Contact information
Practice address
821 N ROCK ST, SHERIDAN, AR 72150-7623
(870) 942-5121
(870) 942-2592
Mailing address
PO BOX 217, SHERIDAN, AR 72150-0217
(870) 942-5121
(870) 942-2592
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
AR06048
AR
3336C0003X
Community/Retail Pharmacy
Primary
AR06048
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100377407
—
AR
05
—
102512716
—
AR
Enumeration date
04/21/2006
Last updated
12/04/2023
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