Organization
TRISTATE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA CASEY (MANAGER)
(334) 886-9111
Entity
Organization
Contact information
Practice address
2253 THIRD AVE STE 1, DOTHAN, AL 36301-5303
(334) 886-9111
(334) 323-7303
Mailing address
2253 THIRD AVE STE 1, DOTHAN, AL 36301-5303
(334) 886-9111
(334) 886-9255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
786
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106600
—
AL
Enumeration date
01/18/2007
Last updated
03/26/2026
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