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Contact Information

TERRITORIAL DRUG CO INC
524 E ALLEN STREET
TOMBSTONE, AZ85638
 Phone: 520-457-3543
 Fax: 520-457-3187
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TERRITORIAL DRUG CO INC

NPI Number 1750327847
LBN Legal business name TERRITORIAL DRUG CO INC
Authorized official ANTHONY ROETHER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2006
Last updated 08/07/2013 - About 13 years ago
Identifiers
AZ License # Y005508
AZ Medicaid 325838
Other 1989821 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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