| NPI | 1649742925 |
|---|---|
| Doing Business As | TRISTATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LUIS ESPINOZA President 718-755-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2019-01-02 |