National Provider Identifier Database

TYFAN INC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

TYFAN INC.
11231 INDIAN CREEK ROAD
POUND, VA24279
Phone: 276-796-2200
Fax: 276-796-2202
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for TYFAN INC.

NPI Number 1255381265
Legal business name
LBN
TYFAN INC.
Authorized official GREGORY MULLINS - (OWNER/PHARMACIST-IN-CHARGE)
Entity Organization
Organization subpart No
Enumeration date 05/11/2006
Last updated 06/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0201004080
  • KY Medicaid: 7100266980
  • VA Medicaid: 010266238
  • Other: 2105920 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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