| NPI | 1083617799 |
|---|---|
| Doing Business As | TRISTATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH BERNABEI Owner 304-723-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV sp0552308) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-02-18 |