1760435358 NPI number — TCS INC

Table of content: (NPI 1760435358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760435358 NPI number — TCS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TCS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HAUBSTADT PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760435358
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
760 HIGHWAY 68 EAST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAUBSTADT
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-768-6101
Provider Business Mailing Address Fax Number:
812-768-6102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
760 HIGHWAY 68 EAST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HAUBSTADT
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-768-6101
Provider Business Practice Location Address Fax Number:
812-768-6102
Provider Enumeration Date:
05/18/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SCHWARTZ
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
CHRISTIAN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
812-768-6101

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  60005734A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1515938 . This is a "NABP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1525938 . This is a "NABP" identifier . This identifiers is of the category "OTHER".