Organization · Type 2 NPI
Tri - State Medical Group, Inc.
Non-Pharmacy Dispensing Site · Midland, PA
NPI number
1720129943
Active
Practice location
21 7th St
Midland, PA 15059-1452
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | OS006001L (PA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2 other providers at this address
About NPI 1720129943
Tri - State Medical Group, Inc.'s National Provider Identifier is 1720129943, issued on Feb 9, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Midland, PA. The record was last updated on Oct 17, 2012.