TYFAN INC.
11231 Indian Creek Road
Pound, VA 24279
276-796-2200
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | VA | 0201004080 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2105920 | OTHER | |
010266238 | VA | MEDICAID | |
7100266980 | KY | MEDICAID |