NPI | 1649633686 |
---|---|
Doing Business As | TRI-STATE PHARMACEUTICAL LLC |
Entity Type | Organization |
Authorized Contact | CHARLES BREE Principal 888-475-0761 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: NJ 28RS00735400) |
Enumeration Date | 2016-03-29 |
Last Update Date | 2019-07-08 |