NPI Database
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Contact Information

TSI TIDEWATER LLC
1520 BREEZEPORT WAY STE 500
SUFFOLK, VA23435-3757
 Phone: 757-861-0050
 Fax: 757-335-7354
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for TSI TIDEWATER LLC

NPI Number 1114631447
LBN Legal business name TSI TIDEWATER LLC
Authorized official AMANDA MCDONALD - (MANAGING PHARMACISTS)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2023
Last updated 05/12/2023 - About 3 years ago
Identifiers n/a
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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