Individual
BOBBY TYSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
722 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3574
(336) 789-9006
Mailing address
3437 WHITAKER RD, BOONVILLE, NC 27011-9225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
08809
NC
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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