| NPI | 1972767515 |
|---|---|
| Doing Business As | TRISTATE LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN BERNABEI Owner 304-723-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: WV SP0552378) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2017-03-20 |