| NPI | 1578405817 |
|---|---|
| Doing Business As | TRICARE PHARMACY (LTC) |
| Entity Type | Organization |
| Authorized Contact | GENNADY KUPERSHMIDT Owner 718-382-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |