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Tri State Pharmaceutical Services Inc
Compounding Pharmacy in Dothan, Alabama
NPI 1154308625

Tri State Pharmaceutical Services Inc is a Compounding Pharmacy based in Dothan, AL and is specialized in Compounding Pharmacy. Tri State Pharmaceutical Services Inc practices in Dothan, AL. The NPI Number for Tri State Pharmaceutical Services Inc is 1154308625 and holds a License No. (Alabama).

The current practice location address for Tri State Pharmaceutical Services Inc is 4119 W Main St, Dothan, AL and can be reached out via phone at 334-793-1316 and via fax at 334-793-4920.

Location: 4119 W Main St, Dothan, AL, 36305-1023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154308625
Provider Name
Tri State Pharmaceutical Services Inc
Credential
Provider Entity Type
Organization
Address
4119 W Main St, Dothan, AL, 36305-1023
Phone Number
334-793-1316
Fax Number
334-793-4920
Provider Enumeration Date
12/27/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0116839 01 NCPDP PROVIDER IDENTIFICATION NUMBER
051555957 01 AL MEDICARE CAHABA GBA-AL PART B
100003015 05 AL
institution
Provider Business Practice Location Address Details
Address
4119 W Main St
City
Dothan
State
Alabama
Zip
36305-1023
Phone Number
334-793-1316
Fax Number
334-793-4920
person
Provider Business Mailing Address Details
Address
4119 W Main St
City
Dothan
State
Alabama
Zip
36305-1023
Phone Number
334-793-1316
Fax Number
334-793-4920
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
111313 (Alabama)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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