| NPI | 1568565604 |
|---|---|
| Doing Business As | TRI-STATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOEL THORNBURY VP 276-935-7513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201002326) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2010-12-17 |