Organization
TYLE, LLC
Active
Other names
Ryals Drug Store
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH LOWELL YAWN JR. PHARMD (OWNER/PIC)
(229) 318-9991
Entity
Organization
Contact information
Practice address
12 S SECOND AVE, MC RAE, GA 31055-4659
(229) 868-6735
(229) 868-2611
Mailing address
PO BOX 209, MC RAE, GA 31055-0209
(229) 868-6735
(229) 868-2611
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000035395A
—
GA
Enumeration date
10/09/2013
Last updated
09/16/2024
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