Provider Demographics
NPI:1164611778
Name:TGGP LLC
Entity Type:Organization
Organization Name:TGGP LLC
Other - Org Name:CHRISTIANS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:340-626-2131
Mailing Address - Street 1:PO BOX 3117
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00822-3117
Mailing Address - Country:US
Mailing Address - Phone:340-772-2234
Mailing Address - Fax:340-772-2236
Practice Address - Street 1:5 A AND B STRAND STREET
Practice Address - Street 2:
Practice Address - City:FREDERIKSTED
Practice Address - State:VI
Practice Address - Zip Code:00840
Practice Address - Country:US
Practice Address - Phone:340-772-2234
Practice Address - Fax:340-772-2236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2113252L3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5300431OtherNCPDP PROVIDER IDENTIFICATION NUMBER