Organization · Type 2 NPI

Tsi Tidewater LLC

Home Infusion Therapy Pharmacy · Suffolk, VA

NPI number 1114631447 Active

Practice location

1520 Breezeport Way Ste 500
Suffolk, VA 23435-3757

Fax (757) 335-7354

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Parenteral & Enteral Nutrition Supplies (DME)	332BP3500X	None listed
Pharmacy	333600000X	None listed
Home Infusion Therapy Pharmacy Primary	3336H0001X	None listed

Home Infusion Therapy Pharmacy: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusio…

Another provider at this address

Nequa PowellPharmacist Suffolk, VA NPI 1336912260

NPI record

NPI: 1114631447
Entity type: Organization (Type 2)
Issued: Jan 11, 2023
Last updated: May 12, 2023
Status: Active

Other names

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Vital Care of Suffolk · doing business as
Vital Care of Suffolk · doing business as

Authorized official

Amanda McDonald, PHARMACISTS
Managing Pharmacists
(757) 861-0050

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About NPI 1114631447

Tsi Tidewater LLC's National Provider Identifier is 1114631447, issued on Jan 11, 2023. The primary taxonomy on file is Home Infusion Therapy Pharmacy (3336H0001X), and the practice location is in Suffolk, VA. The record was last updated on May 12, 2023.