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TRI STATE PHARMACEUTICAL SERVICES INC

Medical Equipment Supplier Yellow Pages

Dothan, Alabama

Provider NPI: 1154308625

Organization Information:
Organization Name:  TRI STATE PHARMACEUTICAL SERVICES INC


Practice Location:
4119 W MAIN ST  DOTHAN, AL 36305 US
Tel: 334-793-1316  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
AL111313

Other Provider Identifiers:

IssuerNumberStateType
NCPDP PROVIDER IDENTIFICATION NUMBER011683901
100003015AL05
MEDICARE CAHABA GBA-AL PART B051555957AL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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