| NPI | 1275646499 |
|---|---|
| Doing Business As | TRI-STATE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAD THOMPSON Owner,PIC,AO 513-624-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: KY oh1934) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OH 021356250-03) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-07-19 |