Provider Demographics
NPI:1215007927
Name:TRI-C MANAGMENT, LTD
Entity Type:Organization
Organization Name:TRI-C MANAGMENT, LTD
Other - Org Name:TRI-C MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHULMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-985-4100
Mailing Address - Street 1:100 S DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-1359
Mailing Address - Country:US
Mailing Address - Phone:618-985-4100
Mailing Address - Fax:618-985-6100
Practice Address - Street 1:100 S DIVISION ST
Practice Address - Street 2:
Practice Address - City:CARTERVILLE
Practice Address - State:IL
Practice Address - Zip Code:62918-1359
Practice Address - Country:US
Practice Address - Phone:618-985-4100
Practice Address - Fax:618-985-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL540154723336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid