Provider Demographics
NPI:1760097141
Name:TRI-UNITY INFUSION SERVICES, LLC
Entity Type:Organization
Organization Name:TRI-UNITY INFUSION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEVIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-214-4446
Mailing Address - Street 1:447 S WHITTAKER ST
Mailing Address - Street 2:
Mailing Address - City:NEW BUFFALO
Mailing Address - State:MI
Mailing Address - Zip Code:49117-1763
Mailing Address - Country:US
Mailing Address - Phone:844-214-4446
Mailing Address - Fax:
Practice Address - Street 1:447 S WHITTAKER ST
Practice Address - Street 2:
Practice Address - City:NEW BUFFALO
Practice Address - State:MI
Practice Address - Zip Code:49117-1763
Practice Address - Country:US
Practice Address - Phone:844-214-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5301008165OtherPHARMACY
MI5315022479OtherPHARMACY
IN64002718AOtherPHARMACY
IL054021028OtherPHARMACY