Organization
TRI STAR MEDICAL PHARMACY LLC
Active
Organization
TRI STAR MEDICAL PHARMACY LLC
Active
Other names
Tri Star Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANDAN PATEL (OWNER)
(734) 673-7829
Entity
Organization
Contact information
Practice address
2845 CAPITAL AVE SW, SUITE 301, BATTLE CREEK, MI 49015-4185
(269) 979-5402
(269) 979-5609
Mailing address
2845 CAPITAL AVE SW, SUITE 301, BATTLE CREEK, MI 49015-4185
(269) 979-5402
(269) 979-5609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
5301009565
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2375536
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/26/2011
Last updated
07/05/2011
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