Provider Demographics
NPI:1609941467
Name:T E E M TRADING COMPANY INC
Entity Type:Organization
Organization Name:T E E M TRADING COMPANY INC
Other - Org Name:TOPEKA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-593-2252
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:IN
Mailing Address - Zip Code:46571-0157
Mailing Address - Country:US
Mailing Address - Phone:260-593-2252
Mailing Address - Fax:260-593-2150
Practice Address - Street 1:101 N MAIN ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:IN
Practice Address - Zip Code:46571-0157
Practice Address - Country:US
Practice Address - Phone:260-593-2252
Practice Address - Fax:260-593-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN600037643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100298290Medicaid
IN1525560OtherNCPDP
M300064526OtherDSMT PTAN
1011740001Medicare NSC