| Organization Name: | TIGER PHARMACY INC |
| NPI Number: | 1649516824 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA HATFIELD (PHARMACIST-IN-CHARGE) |
| Mailing Address: | 68 Boise Street Chapmanville |
| State: | WV US |
| Postal Code: | 25508 |
| Phone Number: | 3048551300 |
| Fax Number: | 3048551314 |
| NPI Enumeration Date: | 12/17/2012 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0004X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Compounding Pharmacy |
| Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |