Organization
DYER STATION PHARMACY LLC
Active
Other names
Duncan's Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HOLYFIELD (MANAGING PARTNER)
(731) 692-3578
Entity
Organization
Contact information
Practice address
2017 S COLLEGE ST STE B, TRENTON, TN 38382-3934
(731) 855-0500
(731) 855-0400
Mailing address
2017 S COLLEGE ST STE B, TRENTON, TN 38382-3934
(731) 855-0500
(731) 855-0400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0000005704
TN
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155145
PK
—
05
—
Q033472
—
TN
Enumeration date
12/03/2015
Last updated
12/05/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us