Organization
DYER STATION PHARMACY, LLC
Active
Other names
Duncan's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK HOLYFIELD PHARM. D (MANAGING PARTNER)
(731) 692-3578
Entity
Organization
Contact information
Practice address
137 S MAIN ST, DYER, TN 38330-1815
(731) 692-3578
(731) 692-4219
Mailing address
PO BOX 265, DYER, TN 38330-0265
(731) 692-3578
(731) 692-4219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
2878
TN
3336C0003X
Community/Retail Pharmacy
Primary
2878
TN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454681
—
TN
Enumeration date
11/22/2005
Last updated
11/13/2021
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