Provider Demographics
NPI:1407552714
Name:TRISTATE INFUSION, LLC
Entity Type:Organization
Organization Name:TRISTATE INFUSION, LLC
Other - Org Name:VITAL CARE OF MEMPHIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:MCFERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:013-228-3809
Mailing Address - Street 1:1680 CENTURY CENTER PKWY STE 10
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38134-8827
Mailing Address - Country:US
Mailing Address - Phone:901-322-8380
Mailing Address - Fax:901-328-5664
Practice Address - Street 1:1680 CENTURY CENTER PKWY STE 10
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38134-8827
Practice Address - Country:US
Practice Address - Phone:901-322-8380
Practice Address - Fax:901-328-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-07
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy