NPI | 1396631404 |
---|---|
Doing Business As | TRI STATE COMMUNITY HEALTH CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | TAMIKA D RUSSELL Pharmacy Manager 901-572-1573 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-08-29 |