Organization
DYER STATION PHARMACY, LLC
Active
Other names
Duncan's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
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
P.O. BOX 265, DYER, TN 38330
(731) 692-3578
(731) 692-4219
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454681
—
TN
Enumeration date
07/23/2007
Last updated
11/13/2021
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