<Unavail>

LBN: Tritenn Llc
<Unavail> is an health care organization with primary practice located at 208 Suncrest St Unit 1 , Johnson City TN 37615-3494. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Tritenn Llc can be contacted via phone (423) 477-3847, or through Baker, Jordon Thomas via phone (423) 772-3591.

Contact Information

Primary practice address
208 Suncrest St Unit 1 Johnson City TN 37615-3494
Fax: (423) 477-4392
Website:
Authorized official contact:
Name: Baker, Jordon Thomas PHARM D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X C001007 Tennessee

Profile Details

NPI number 1194812446
LBN Legal business name Tritenn Llc
DBA Doing business as <Unavail>
Authorized official Baker, Jordon Thomas PHARM D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 11th, 2026 - about 4 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194812446 NPPES
Tennessee MEDICAID 3539406

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