Organization
TYAN PHARMACY & MEDICAL SUPPLY LLC
Active
Organization
TYAN PHARMACY & MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA G WILLIAMS (PIC)
(215) 639-9400
Entity
Organization
Contact information
Practice address
2846 KNIGHTS RD, BENSALEM, PA 19020-3552
(215) 639-9400
(215) 639-9401
Mailing address
2846 KNIGHTS RD, BENSALEM, PA 19020-3552
(215) 639-9400
(215) 639-9401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP482560
PA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030274210001
—
PA
Enumeration date
06/19/2015
Last updated
09/16/2025
Update your record
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