Organization
TRI-STATE PHARMACEUTICAL LLC
Active
Other names
Tri-State Pharmaceutical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BREE (PRINCIPAL)
(888) 475-0761
Entity
Organization
Contact information
Practice address
317 BRICK BLVD STE 100, BRICK, NJ 08723-6031
(888) 475-0761
(848) 228-2239
Mailing address
317 BRICK BLVD STE 100, BRICK, NJ 08723-6031
(888) 475-0761
(848) 228-2239
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
28RS00735400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0547174
—
NJ
01
—
2159478
PK
—
Enumeration date
03/29/2016
Last updated
07/08/2019
About Stedi
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