Provider Demographics
NPI:1073610812
Name:TSCHIFFELY PHARMACY AT UNION STATION INC
Entity Type:Organization
Organization Name:TSCHIFFELY PHARMACY AT UNION STATION INC
Other - Org Name:TSCHIFFELY PHARMACY AT UNION STATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:202-408-5178
Mailing Address - Street 1:50 MASSACHUSETTS AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:50 MASSACHUSETTS AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4214
Practice Address - Country:US
Practice Address - Phone:202-408-5178
Practice Address - Fax:202-898-0356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRX9000199333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered333600000XSuppliersPharmacy
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
0903181OtherOTHER ID NUMBER-COMMERCIAL NUMBER